Organization
CORNERSTONE COMMUNITY COUNSELING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON THOMAS LCPC (PRESIDENT)
(301) 891-1364
Entity
Organization
Contact information
Practice address
7401 FLOWER AVE, TAKOMA PARK, MD 20912-6425
(301) 891-1364
Mailing address
7401 NEW HAMPSHIRE AVE, SUITE 1106, TAKOMA PARK, MD 20912-6945
(301) 891-1364
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC4283
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050795400
—
MD
Enumeration date
05/15/2013
Last updated
05/15/2013
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