Organization
COMMUNITY COUNSELING & RESOURCE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN M KOONCE (BUSINESS OWNER)
(404) 763-3092
Entity
Organization
Contact information
Practice address
2165 RUGBY AVE APT 538, COLLEGE PARK, GA 30337-1035
(917) 805-4339
Mailing address
PO BOX 87467, COLLEGE PARK, GA 30337-0467
(917) 805-4339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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