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Organization
CHRISTIAN COUNSELING CENTER
Active
Organization
CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM BILES (EXECUTIVE DIRECTOR)
(813) 935-3839
Entity
Organization
Contact information
Practice address
1060 W. BUSCH BLVD, STE 104, TAMPA, FL 33612-7707
(813) 935-3917
(813) 935-5840
Mailing address
1060 W. BUSCH BLVD, STE 104, TAMPA, FL 33612-7707
(813) 935-3917
(813) 985-5840
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/28/2006
Last updated
04/30/2009
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