Provider Demographics
NPI:1306183686
Name:CONTACT COUNCELING COMPANY
Entity Type:Organization
Organization Name:CONTACT COUNCELING COMPANY
Other - Org Name:JOHN R. CHAMBERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CDP
Authorized Official - Phone:360-671-3277
Mailing Address - Street 1:1118 FINNEGAN WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-6656
Mailing Address - Country:US
Mailing Address - Phone:360-671-3277
Mailing Address - Fax:360-733-9499
Practice Address - Street 1:1118 FINNEGAN WAY STE 103
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-6656
Practice Address - Country:US
Practice Address - Phone:360-671-3277
Practice Address - Fax:360-733-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 00003660101YA0400X
WA37013400251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty