Organization
EFFECTIVE LIFE CHANGING COUNSELING
Active
Organization
EFFECTIVE LIFE CHANGING COUNSELING
Active
Parent organization
EFFECTIVE LIFE CHANGING COUNSELING
Organization subpart
Yes
Provider details
NPI number
Legal business name
EFFECTIVE LIFE CHANGING COUNSELING
Authorized official
KORI ALLISON BROWN (LCSW)
(631) 772-9644
Entity
Organization
Contact information
Practice address
711 S CARSON ST STE 4, FPO, CARSON CITY, NV 89701-5292
(631) 772-9644
Mailing address
711 S CARSON ST STE 4, CARSON CITY, NV 89701-5292
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
60312005
WA
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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