Provider Demographics
NPI:1053664789
Name:CORNERSTONE COUNSELING PLLC
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAINES
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:603-957-1608
Mailing Address - Street 1:86 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3765
Mailing Address - Country:US
Mailing Address - Phone:603-957-1608
Mailing Address - Fax:
Practice Address - Street 1:86 LOCUST ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3765
Practice Address - Country:US
Practice Address - Phone:603-957-1608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH441101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty