C&C CENTER FOR HEALING LICENSED CLINICAL SOCIAL WORKER INC NPI 1316515125

NPI Information

NPI: 1316515125
Provider Name: C&C CENTER FOR HEALING LICENSED CLINICAL SOCIAL WORKER INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
308 W STATE ST STE 3D
REDLANDS, CA
ZIP 92373
Phone: (909) 566-9669
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C&C CENTER FOR HEALING LICENSED CLINICAL SOCIAL WORKER INC is a mental health counselor in Redlands, CA. C&C CENTER FOR HEALING LICENSED CLINICAL SOCIAL WORKER INC NPI is 1316515125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

308 W STATE ST STE 3D
REDLANDS, CA
ZIP 92373-653
Phone: (909) 566-9669
Fax: (909) 353-4985

The provider's authorized official is Oscar Collins .
The authorized official title is Owner/ceo and has the following contact phone number (909) 566-9669.

The enumeration date for this NPI number is 6/16/2021 and was last updated on 6/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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