Cornerstone Brief Therapy, Inc. | |
5925 Council St Ne 120 Cedar Rapids IA 52402-5878 | |
(319) 393-6796 | |
(319) 378-8621 |
Full Name | Cornerstone Brief Therapy, Inc. |
---|---|
Speciality | Marriage & Family Therapist |
Location | 5925 Council St Ne, Cedar Rapids, Iowa |
Authorized Official Name and Position | Lonnie R Marshall (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3193936796 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cornerstone Brief Therapy, Inc. 5925 Council St Ne 120 Cedar Rapids IA 52402-5878 Ph: (319) 393-6796 | Cornerstone Brief Therapy, Inc. 5925 Council St Ne 120 Cedar Rapids IA 52402-5878 Ph: (319) 393-6796 |
NPI Number | 1982614848 |
---|---|
Provider Enumeration Date | 08/09/2006 |
Last Update Date | 12/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982614848 | NPI | - | NPPES |
23629 | Other | IA | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 00807 (Iowa) | Secondary |
103TH0100X | Psychologist - Health Service | 00337 (Iowa) | Secondary |
106H00000X | Marriage & Family Therapist | 00129 (Iowa) | Primary |
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