Cornerstone Therapy and Recovery Center, P.a.

NPI #1700895968 in Saint Paul, Minnesota

Provider Information

NPI Number
1700895968
Entity Type
Organization
Organization Name
Cornerstone Therapy and Recovery Center, P.a.
Primary Specialty
Psychologist
Enumeration Date
Aug 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1600 UNIVERSITY AVE W STE 505
ZIP Code
55104-3825
Phone
(651) 645-0980

Authorized Official

Name
MR. MICHAEL LEE KOGAN-WHITE, M.A.
Title
PRESIDENT AND CEO
Phone
(651) 645-0980

Specialties & Taxonomy Codes

Specialty
Psychologist

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