Organization
CORNERSTONE COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GAMMELLO MA (OWNER)
(218) 838-4209
Entity
Organization
Contact information
Practice address
18510 MN-371, SUITE D, BRAINERD, MN 56401
(218) 838-4209
Mailing address
11636 FAIRWAY RD, EAST GULL LAKE, MN 56401-2099
(218) 838-4209
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/25/2024
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