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Organization
CORNERSTONE FAMILY THERAPY LLC
Active
Organization
CORNERSTONE FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LINDSEY GONZALES LMFT, LCPC (OWNER, CLINICIAN)
(208) 571-0711
Entity
Organization
Contact information
Practice address
2995 N COLE RD STE 225, BOISE, ID 83704-5966
(208) 614-0588
(208) 203-7432
Mailing address
PO BOX 190213, BOISE, ID 83719-0213
(208) 614-0588
(208) 203-7432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/09/2022
Last updated
04/24/2024
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