# CREEKSIDE COUNSELING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194750547
- **Authorized official:** KRISTIN KIRK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (530) 722-9957

## Contact information

- **Practice address:** 1170 INDUSTRIAL ST, REDDING, CA 96002-0734
- **Practice address phone:** (530) 722-9957
- **Practice address fax:** (530) 722-9294
- **Mailing address:** PO BOX 491750, REDDING, CA 96049-1750
- **Mailing address phone:** (530) 722-9957
- **Mailing address fax:** (530) 722-9294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 38104 | CA | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 12/28/2023