Organization
CHRISTIAN COUNSELING CENTER / OSAF
Active
Parent organization
CHRISTIAN COUNSELING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTIAN COUNSELING CENTER
Authorized official
DR. MARK D GLOVER D.MIN,LCMFT (CLINICAL DIRECTOR)
(316) 264-8800
Entity
Organization
Contact information
Practice address
333 S GREENWOOD ST, WICHITA, KS 67211-1819
(316) 264-8800
(316) 264-8809
Mailing address
333 S GREENWOOD ST, WICHITA, KS 67211-1819
(316) 264-8800
(316) 264-8809
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116083
BCBSKS
KS
Enumeration date
11/21/2007
Last updated
11/21/2007
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