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Organization
CORNERSTONE COUNSELING LLC
Active
Organization
CORNERSTONE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTI D ANDERSON LMHC, CAP (PROGRAM DIRECTOR)
(850) 526-3227
Entity
Organization
Contact information
Practice address
2496 INDIAN SPRINGS RD, MARIANNA, FL 32446
(850) 526-3227
(866) 456-9674
Mailing address
PO BOX 6003, MARIANNA, FL 32446
(850) 526-3227
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MH9347
FL
101Y00000X
Counselor
Primary
MH9988
FL
101YM0800X
Mental Health Counselor
MH9347
FL
103TC0700X
Clinical Psychologist
PY6953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000889900
—
FL
05
—
692141896
—
FL
05
—
768925000
—
FL
Enumeration date
02/11/2009
Last updated
12/22/2010
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