| Organization Name: | CHRISTIAN COUNSELING AND PSYCHOLOGICAL SERVICES |
| NPI Number: | 1053575381 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT DUNCAN (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 2910 B Horizon Park Drive Suwanee |
| State: | GA US |
| Postal Code: | 30024 |
| Phone Number: | 7702718989 |
| Fax Number: | 7709328297 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 001411 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |