Organization Name: | COMMUNITY COUNSELING SOLUTIONS, INC |
NPI Number: | 1578501771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY L LINDSAY (EXECUTIVE DIRECTOR) |
Mailing Address: | 120 S Main Heppner |
State: | OR US |
Postal Code: | 97836 |
Phone Number: | 5416769161 |
Fax Number: | 5416765662 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 12/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |