Organization Name: | CHRISTIAN COUNSELING SERVICES |
NPI Number: | 1669897591 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE STRAMEL (COUNSELOR) |
Mailing Address: | 100 S Iowa Ave 100 S Iowa Ave Fruitland |
State: | ID US |
Postal Code: | 836192644 |
Phone Number: | 2084524378 |
Fax Number: | 2084524378 |
NPI Enumeration Date: | 03/01/2014 |
NPI Last Update Date: | 03/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCPC3857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |