Organization
CORNERSTONE CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB LEWIS L.P.C.C (OWNER)
(865) 585-6681
Entity
Organization
Contact information
Practice address
1759 NORTH 25 STREET, MIDDLESBORO, KY 40965
(865) 585-6618
Mailing address
PO BOX 1511, MIDDLESBORO, KY 40965-3311
(865) 585-6681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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