| Cornerstone Family Resources | |
|
6 S State St Concord NH 03301-3761 | |
| (603) 228-3862 | |
| (603) 226-0073 |
| Full Name | Cornerstone Family Resources |
|---|---|
| Speciality | Counselor |
| Location | 6 S State St, Concord, New Hampshire |
| Authorized Official Name and Position | Shirley Anderson Kirby (PRESIDENT) |
| Authorized Official Contact | 6032283862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Resources 6 S State St Concord NH 03301-3761 Ph: (603) 228-3862 | Cornerstone Family Resources 6 S State St Concord NH 03301-3761 Ph: (603) 228-3862 |
| NPI Number | 1457370629 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193727121 |
|---|---|
| Medicare Enrollment ID | O20070205000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457370629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Vicki Joan Compitello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992724900 PECOS PAC ID: 3779585047 Enrollment ID: I20080306000663 |
| Provider Name | Rachel Vaughan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629239835 PECOS PAC ID: 7810050358 Enrollment ID: I20090109000665 |
| Provider Name | Edward Orlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093990046 PECOS PAC ID: 9436316825 Enrollment ID: I20120214000348 |
| Provider Name | Kristy M Moen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922168079 PECOS PAC ID: 6709020571 Enrollment ID: I20130917000419 |
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