# COMMUNITY SERVICE COUNSELING CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hands Extended
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225175086
- **Authorized official:** MR. GREGORY STEWART MIMM MFT (SECRETARY TREASURER)
- **Authorized official phone:** (949) 261-5765

## Contact information

- **Practice address:** 1151 DOVE ST, 285, NEWPORT BEACH, CA 92660-2840
- **Practice address phone:** (949) 261-5765
- **Mailing address:** 1151 DOVE ST, 285, NEWPORT BEACH, CA 92660-2840
- **Mailing address phone:** (949) 261-5765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 25700 | CA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020