# IMANI CHRISTIAN COUNSELING SERVICES, LLC

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

## Provider details

- **NPI number:** 1992111660
- **Authorized official:** SHARMAINE D BARNES LMFT (OWNER)
- **Authorized official phone:** (209) 475-8428

## Contact information

- **Practice address:** 5651 N PERSHING AVE, C-5, STOCKTON, CA 95207-4947
- **Practice address phone:** (209) 475-8428
- **Practice address fax:** (209) 475-8479
- **Mailing address:** 5651 N PERSHING AVE, C-5, STOCKTON, CA 95207-4947
- **Mailing address phone:** (209) 475-8428
- **Mailing address fax:** (209) 475-8479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 80569 | CA | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014