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Organization

CORNERSTONE PSYCHOLOGICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARAH PETROSKEY MS.; LPC (ADMINSTRATOR)
(715) 420-1201
Entity
Organization

Contact information

Practice address
1415 EAGLE ST, RHINELANDER, WI 54501-2212
(715) 420-1201
(715) 420-1202
Mailing address
PO BOX 597, RHINELANDER, WI 54501-0597
(715) 420-1201
(715) 420-1202

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
4346-125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
1331-132
WI
101YM0800X
Mental Health Counselor
2780-125
WI
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/15/2012
Last updated
09/20/2012
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