Provider Demographics
NPI:1609959709
Name:JC COUNSELING/THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:JC COUNSELING/THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:202-610-0862
Mailing Address - Street 1:1702 MINNESOTA AVE SE
Mailing Address - Street 2:2ND FL.
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4724
Mailing Address - Country:US
Mailing Address - Phone:202-610-0862
Mailing Address - Fax:202-610-0001
Practice Address - Street 1:1702 MINNESOTA AVE SE
Practice Address - Street 2:2ND FL.
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4724
Practice Address - Country:US
Practice Address - Phone:202-610-0862
Practice Address - Fax:202-610-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health