| Organization Name: | CCST, LLC |
| NPI Number: | 1043246440 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY SUE NELSON (OWNER OF BUSINESS) |
| Mailing Address: | 2521 Elwood Dr Suite 121 Ames |
| State: | IA US |
| Postal Code: | 500108229 |
| Phone Number: | 5152911499 |
| Fax Number: | 5152922184 |
| NPI Enumeration Date: | 06/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 06044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |