Cornerstone Lifeworks Llc | |
320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955 | |
(505) 345-2778 | |
Not Available |
Full Name | Cornerstone Lifeworks Llc |
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Speciality | Counselor - Professional |
Location | 320 Osuna Rd Ne Ste H4, Albuquerque, New Mexico |
Authorized Official Name and Position | Sam Newmon (OWNER/CLINICAL SUPERVISOR) |
Authorized Official Contact | 5053503027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cornerstone Lifeworks Llc 320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955 Ph: (505) 345-2778 | Cornerstone Lifeworks Llc 320 Osuna Rd Ne Ste H4 Albuquerque NM 87107-5955 Ph: (505) 345-2778 |
NPI Number | 1841837119 |
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Provider Enumeration Date | 12/05/2019 |
Last Update Date | 06/11/2024 |
Certification Date | 06/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841837119 | NPI | - | NPPES |
0171811 | Other | NM | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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