| Cornerstone Therapy And Recovery Center, P.a. | |
|
1600 University Ave W Ste 505 Saint Paul MN 55104-3825 | |
| (651) 645-0980 | |
| (651) 645-3534 |
| Full Name | Cornerstone Therapy And Recovery Center, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1600 University Ave W Ste 505, Saint Paul, Minnesota |
| Authorized Official Name and Position | Michael Lee Kogan-white (PRESIDENT AND CEO) |
| Authorized Official Contact | 6516450980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Therapy And Recovery Center, P.a. 1600 University Ave W Ste 505 Saint Paul MN 55104-3825 Ph: (651) 645-0980 | Cornerstone Therapy And Recovery Center, P.a. 1600 University Ave W Ste 505 Saint Paul MN 55104-3825 Ph: (651) 645-0980 |
| NPI Number | 1700895968 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700895968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP 2974 (Minnesota) | Primary |
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