| Organization Name: | CORNERSTONE COMMUNITY COUNSELING PA |
| NPI Number: | 1295171437 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON THOMAS (PRESIDENT) |
| Mailing Address: | 7401 Flower Ave Takoma Park |
| State: | MD US |
| Postal Code: | 209126425 |
| Phone Number: | 3018911364 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2013 |
| NPI Last Update Date: | 05/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LC4283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |