Provider Demographics
NPI:1497134787
Name:CAPITAL COUNSELING CENTER
Entity Type:Organization
Organization Name:CAPITAL COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BATT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-856-5699
Mailing Address - Street 1:9470 MICRON AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2612
Mailing Address - Country:US
Mailing Address - Phone:916-856-5699
Mailing Address - Fax:
Practice Address - Street 1:9500 MICRON AVE STE 132
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2619
Practice Address - Country:US
Practice Address - Phone:916-856-5699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL CHRISTIAN CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT84125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty