| Cornerstone Christian Counseling Pc | |
|
1090 N 10th St Suite 110 Kalamazoo MI 49009-5733 | |
| (269) 375-4363 | |
| (269) 375-4363 |
| Full Name | Cornerstone Christian Counseling Pc |
|---|---|
| Speciality | Counselor |
| Location | 1090 N 10th St, Kalamazoo, Michigan |
| Authorized Official Name and Position | Barry Jon Brigham (PRESIDENT) |
| Authorized Official Contact | 2695695535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Christian Counseling Pc 1090 N 10th St Suite 110 Kalamazoo MI 49009-5733 Ph: (269) 375-4363 | Cornerstone Christian Counseling Pc 1090 N 10th St Suite 110 Kalamazoo MI 49009-5733 Ph: (269) 375-4363 |
| NPI Number | 1508090911 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 1052765674 |
|---|---|
| Medicare Enrollment ID | O20230929001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508090911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401005766 (Michigan) | Primary |
| Provider Name | Kristi M Farnstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992235782 PECOS PAC ID: 8325318223 Enrollment ID: I20170726001489 |
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