Provider Demographics
NPI:1346697828
Name:CONFIDENT COUNSELING SERVICES OF NEWBURGH
Entity Type:Organization
Organization Name:CONFIDENT COUNSELING SERVICES OF NEWBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELENKO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-598-3959
Mailing Address - Street 1:333 STATE ST STE B
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-1270
Mailing Address - Country:US
Mailing Address - Phone:812-598-3959
Mailing Address - Fax:812-993-1164
Practice Address - Street 1:333 STATE ST STE B
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-1270
Practice Address - Country:US
Practice Address - Phone:812-598-3959
Practice Address - Fax:812-993-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006270A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health