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Organization
CENTRAL COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization
CENTRAL COUNSELING SERVICES LICENSED CLINICAL SOCIAL WORKER INC
Active
Parent organization
CENTRAL COUNSELING SERVICES INC
Other names
Central Counseling Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL COUNSELING SERVICES INC
Authorized official
SHERALYN L. SHOCKEY-POPE LMFT (CHIEF OPERATION OFFICER)
(951) 778-0230
Entity
Organization
Contact information
Practice address
6840 INDIANA AVE STE 275, RIVERSIDE, CA 92506-4279
(951) 778-0230
Mailing address
6840 INDIANA AVE STE 275, RIVERSIDE, CA 92506-4279
(951) 778-0230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26872
CA
106H00000X
Marriage & Family Therapist
37209
CA
Other
Enumeration date
06/19/2018
Last updated
02/05/2020
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