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NPI Code Detail

MEDICARE: CORNERSTON MARRIAGE AND FAMILY COUNSELING SERVICES

MEDICARE: CORNERSTON MARRIAGE AND FAMILY COUNSELING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor872393OH
2106H00000XMarriage & Family TherapistI0008328OH

General Provider Information

NPI Number : 1568779577
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTON MARRIAGE AND FAMILY COUNSELING SERVICES
Provider Business Mailing Address
First Line : 2490 LEE BLVD
Second Line : #307
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1268
Country : US
Telephone Number : 216-320-0440
Fax Number : 216-320-0442
Provider Business Practice Location Address
First Line : 2490 LEE BLVD
Second Line : #307
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-1268
Country : US
Telephone Number : 216-320-0440
Fax Number : 216-320-0442
Authorized Official
Title or Position : THERAPIST
Name : MS. KARRYL J LINDSEY
Credential : LISW-S, LICDC,SAP
Telephone Number : 216-320-0440
Provider Enumeration Date : 09/13/2010
Last Update Date : 04/06/2011

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Directions to “CORNERSTON MARRIAGE AND FAMILY COUNSELING SERVICES ” Practice Location

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