Organization Name: | COMMUNITY CHRISTIAN COUNSELING |
NPI Number: | 1033442132 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA SUE COKER (OWNER) |
Mailing Address: | 170 Windy Rdg Hollister |
State: | MO US |
Postal Code: | 656725724 |
Phone Number: | 4173392535 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2009 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 065595 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |