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Organization
CORNERSTONE FAMILY COUNSELING, P.C.
Active
Organization
CORNERSTONE FAMILY COUNSELING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY DEPRENGER (BUSINESS MANAGER)
(703) 591-2551
Entity
Organization
Contact information
Practice address
10372 DEMOCRACY LN, B, FAIRFAX, VA 22030-2522
(703) 591-2551
(703) 591-2563
Mailing address
10372 DEMOCRACY LN, B, FAIRFAX, VA 22030-2522
(703) 591-2551
(703) 591-2563
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145835
GROUP PROVIDER # ANTHEM
VA
01
—
383091
GROUP PROVIDER # ANTHEM
VA
Enumeration date
12/28/2006
Last updated
08/22/2020
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