Provider Demographics
NPI:1447616511
Name:CHRISTIAN COUNSELING CENTERS, INC
Entity Type:Organization
Organization Name:CHRISTIAN COUNSELING CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:650-570-7273
Mailing Address - Street 1:25400 HESPERIAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2464
Mailing Address - Country:US
Mailing Address - Phone:510-783-6629
Mailing Address - Fax:
Practice Address - Street 1:25400 HESPERIAN BLVD
Practice Address - Street 2:300
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2464
Practice Address - Country:US
Practice Address - Phone:510-783-6629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT30144251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable