Provider Demographics
NPI:1063498459
Name:CORNERSTONE COUNSELING PC
Entity Type:Organization
Organization Name:CORNERSTONE COUNSELING PC
Other - Org Name:RAYMOND ARSENAULT PHD
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:E
Authorized Official - Last Name:ARSENAULT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-985-4083
Mailing Address - Street 1:10 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2410
Mailing Address - Country:US
Mailing Address - Phone:978-985-4083
Mailing Address - Fax:978-372-7563
Practice Address - Street 1:10 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2410
Practice Address - Country:US
Practice Address - Phone:978-985-4083
Practice Address - Fax:978-372-7563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
613851OtherTUFTS
307470OtherMANAGED HEALTH NETWORK
MAW10198OtherBLUE CROSS BLUE SHIELD
034281000OtherMAGELLAN
MALMG015OtherBLUE CROSS BLUE SHIELD