| Kids' Cornerstone, Llc- A Counseling Center | |
|
1257 E Walnut St Suite 1 Carbondale IL 62901-5002 | |
| (618) 351-9700 | |
| (618) 351-9701 |
| Full Name | Kids' Cornerstone, Llc- A Counseling Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1257 E Walnut St, Carbondale, Illinois |
| Authorized Official Name and Position | Valerie H. Kasten (MANAGING PARTNER) |
| Authorized Official Contact | 6183519700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids' Cornerstone, Llc- A Counseling Center Po Box 2625 Carbondale IL 62902-2625 Ph: (618) 351-9700 | Kids' Cornerstone, Llc- A Counseling Center 1257 E Walnut St Suite 1 Carbondale IL 62901-5002 Ph: (618) 351-9700 |
| NPI Number | 1447461587 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 03/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447461587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 180.006328 (Illinois) | Primary |
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