Organization
CORNERSTONE LIFEWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM NEWMON LPCC (OWNER/CLINICAL SUPERVISOR)
(505) 350-3027
Entity
Organization
Contact information
Practice address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
Mailing address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171811
LICENSE NUMBER
NM
Enumeration date
12/05/2019
Last updated
06/11/2024
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