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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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