Provider Demographics
NPI:1578868063
Name:CHRISTIAN COUNSELING & EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:CHRISTIAN COUNSELING & EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:OSCSODAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-630-2255
Mailing Address - Street 1:239 YORK ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3228
Mailing Address - Country:US
Mailing Address - Phone:717-630-2255
Mailing Address - Fax:717-630-0019
Practice Address - Street 1:239 YORK ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3228
Practice Address - Country:US
Practice Address - Phone:717-630-2255
Practice Address - Fax:717-630-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-14
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005718251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health