| Organization Name: | CORNERSTONE COUNSELING SERVICES LLC |
| NPI Number: | 1013375831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA A WILSON-LONGLET (OWNER / AUTHORIZED OFFICIAL) |
| Mailing Address: | 111 E Midland Rd Auburn |
| State: | MI US |
| Postal Code: | 486119780 |
| Phone Number: | 9892663422 |
| Fax Number: | 9892663197 |
| NPI Enumeration Date: | 02/08/2016 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801071436 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |