| Cornerstone Counseling Services Of Arizona | |
|
3611 Crossings Dr Ste A Prescott AZ 86305-7181 | |
| (928) 232-0168 | |
| (928) 232-0168 |
| Full Name | Cornerstone Counseling Services Of Arizona |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3611 Crossings Dr Ste A, Prescott, Arizona |
| Authorized Official Name and Position | Scott Kerr (OWNER) |
| Authorized Official Contact | 4803862562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Counseling Services Of Arizona 3755 E Broadway Rd Apt 56 Mesa AZ 85206-1056 Ph: () - | Cornerstone Counseling Services Of Arizona 3611 Crossings Dr Ste A Prescott AZ 86305-7181 Ph: (928) 232-0168 |
| NPI Number | 1487003190 |
|---|---|
| Provider Enumeration Date | 06/03/2016 |
| Last Update Date | 01/07/2024 |
| Certification Date | 01/07/2024 |
| Medicare PECOS PAC ID | 7214318039 |
|---|---|
| Medicare Enrollment ID | O20220725002455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487003190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW-13864 (Arizona) | Primary |
| Provider Name | Scott J Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265856991 PECOS PAC ID: 6305117912 Enrollment ID: I20170731003748 |
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