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CORNERSTONE COUNSELING CENTER, PC 6011 JAMESTOWN ROAD HARRISBURG, PA 17112 Phone 7176719520 Fax 7176719524AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION Client Name Date of Birth I, by
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Visit the official website of the cornerstone counseling center.
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Cornerstone Counseling Center Psychologist is a professional who provides counseling and psychological services at Cornerstone Counseling Center.
Anyone who is employed as a psychologist or counselor at Cornerstone Counseling Center is required to file their information.
To fill out the cornerstone counseling center psychologist form, individuals need to provide their personal information, qualifications, experience, and any other relevant details.
The purpose of cornerstone counseling center psychologist is to ensure that qualified professionals are providing counseling services at the center.
Information such as name, qualifications, experience, licensure, and any other relevant details must be reported on cornerstone counseling center psychologist.
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