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Organization
CORNERSTONE PSYCHOTHERAPY GROUP LLC
Active
Organization
CORNERSTONE PSYCHOTHERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA WILKERSON LMFT (OWNER/CLINICAL SUPERVISOR)
(760) 207-7486
Entity
Organization
Contact information
Practice address
54240 RIDGEVIEW DR., IDYLLWILD, CA 92549
(760) 207-7486
Mailing address
P.O. BOX 3519, IDYLLWILD, CA 92549
(760) 207-7486
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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