# CHURCH COUNSELING SERVICE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1265711642
- **Authorized official:** RICHARD FORT MA MFT (PRESIDENT)
- **Authorized official phone:** (909) 982-8687

## Contact information

- **Practice address:** 188 W LANGSTON ST, UPLAND, CA 91786-3123
- **Practice address phone:** (909) 982-8687
- **Mailing address:** 188 W LANGSTON ST, UPLAND, CA 91786-3123
- **Mailing address phone:** (909) 982-8687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MF013902 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011