Organization
CORNERSTONE BRIEF THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE R MARSHALL LMFT (EXECUTIVE DIRECTOR)
(319) 393-6796
Entity
Organization
Contact information
Practice address
5925 COUNCIL ST NE, 120, CEDAR RAPIDS, IA 52402-5878
(319) 393-6796
(319) 378-8621
Mailing address
5925 COUNCIL ST NE, 120, CEDAR RAPIDS, IA 52402-5878
(319) 393-6796
(319) 378-8621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
00807
IA
103TH0100X
Health Service Psychologist
00337
IA
106H00000X
Marriage & Family Therapist
Primary
00129
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23629
WELLMARK
IA
Enumeration date
08/09/2006
Last updated
12/12/2012
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