Organization
THE CENTER FOR CHRISTIAN COUNSELING, CONSULTATION AND TRAINING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CARL RANDALL MSW (CLINICAL DIRECTOR/OWNER)
(608) 274-8294
Entity
Organization
Contact information
Practice address
5310 WALL STREET, SUITE 500, MADISON, WI 53718
(608) 274-8294
(608) 274-8783
Mailing address
5310 WALL STREET, SUITE 500, MADISON, WI 53718
(608) 274-8294
(608) 274-8783
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
06/16/2010
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