Organization
CORNERSTONE THERAPY AND RECOVERY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LEE KOGAN-WHITE M.A. (PRESIDENT AND CEO)
(651) 645-0980
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W STE 505, SAINT PAUL, MN 55104-3825
(651) 645-0980
(651) 645-3534
Mailing address
1600 UNIVERSITY AVE W STE 505, SAINT PAUL, MN 55104-3825
(651) 645-0980
(651) 645-3534
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 2974
MN
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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