Organization
CORNERSTONE COUNSELING GROUP OF MANSFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L NICOL LISW (PRESIDENT AND CEO)
(419) 496-4446
Entity
Organization
Contact information
Practice address
1221 S TRIMBLE RD, A-2, MANSFIELD, OH 44907-2200
(419) 756-0803
Mailing address
1221 S TRIMBLE RD, A-2, MANSFIELD, OH 44907-2200
(419) 756-0803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0008844
OH
Other
Enumeration date
05/02/2007
Last updated
08/08/2008
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