Organization
CORNERSTONE COUNSELING SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D EDWARDS LCSW (DIRECTOR)
(217) 433-6109
Entity
Organization
Contact information
Practice address
102 E LAFAYETTE ST, MONTICELLO, IL 61856-1954
(217) 433-6109
Mailing address
102 E LAFAYETTE ST, MONTICELLO, IL 61856-1954
(217) 433-6109
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
149-006656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-006656
LCSW
IL
Enumeration date
02/08/2010
Last updated
02/08/2010
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