Organization
CALVARY COMMUNITY WESLEYAN CHURCH
Active
Parent organization
CALVARY COMMUNITY WESLYAN CHURCH
Other names
Christian Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALVARY COMMUNITY WESLYAN CHURCH
Authorized official
JOSHUA J NICKELS MHC (EXECUTIVE DIRECTOR)
(607) 422-3020
Entity
Organization
Contact information
Practice address
780 HARRY L DR, JOHNSON CITY, NY 13790
(607) 420-3020
(607) 729-7779
Mailing address
780 HARRY L DR, JOHNSON CITY, NY 13790-1036
(607) 422-3020
(607) 729-7779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004573
NY
Other
Enumeration date
03/10/2016
Last updated
06/14/2018
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