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CHRISTIAN COUNSELING CENTER / OSAF NPI 1629259320


NPI Information

NPI: 1629259320
Provider Name: CHRISTIAN COUNSELING CENTER / OSAF
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
333 S GREENWOOD ST
WICHITA, KS
ZIP 67211
Phone: (316) 264-8800
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CHRISTIAN COUNSELING CENTER / OSAF is an addiction (substance use disorder) psychologist in Wichita, KS. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. CHRISTIAN COUNSELING CENTER / OSAF NPI is 1629259320. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 S GREENWOOD ST
WICHITA, KS
ZIP 67211-819
Phone: (316) 264-8800
Fax: (316) 264-8809

The provider's authorized official is Mark D Glover .
The authorized official title is Clinical Director and has the following contact phone number (316) 264-8800.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116083OTHERKANSASBCBSKS

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: 4/28/2024

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