Provider Demographics
NPI:1649594409
Name:COMPLETE COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:COMPLETE COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DRAGANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAJIC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:909-234-8880
Mailing Address - Street 1:14954 WESTFORK LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-0746
Mailing Address - Country:US
Mailing Address - Phone:909-234-8880
Mailing Address - Fax:909-482-2211
Practice Address - Street 1:250 W 1ST ST STE 242
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-4742
Practice Address - Country:US
Practice Address - Phone:909-234-8880
Practice Address - Fax:909-482-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25965251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health