| Organization Name: | CENTER FOR COUNSELING AND CONSULTATION |
| NPI Number: | 1104862549 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK W STANG (CLIN DIR) |
| Mailing Address: | 5815 Broadway Ave Great Bend |
| State: | KS US |
| Postal Code: | 675303123 |
| Phone Number: | 6207922544 |
| Fax Number: | 6207927052 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 004-06302011 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |