Organization
CORNERSTONE COMMUNITY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIKKI LACHELLE MASON LMSW-C (CLINICAL THERAPIST)
(313) 355-2286
Entity
Organization
Contact information
Practice address
14400 PURITAN ST, DETROIT, MI 48227-2966
(313) 355-2286
Mailing address
15499 BRAILE ST, DETROIT, MI 48223-1609
(313) 575-8383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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