Provider Demographics
NPI:1376671057
Name:DOUGLAS E. GEETING
Entity Type:Organization
Organization Name:DOUGLAS E. GEETING
Other - Org Name:CHRISTIAN COUNSELING ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:GEETING
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:717-633-6283
Mailing Address - Street 1:1000 CARLISLE ST
Mailing Address - Street 2:SUITE 35
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1121
Mailing Address - Country:US
Mailing Address - Phone:717-633-6283
Mailing Address - Fax:
Practice Address - Street 1:1000 CARLISLE ST
Practice Address - Street 2:SUITE 35
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1121
Practice Address - Country:US
Practice Address - Phone:717-633-6283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013978543OtherNPT