Provider Demographics
NPI:1801215454
Name:THE COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:THE COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLA
Authorized Official - Middle Name:(HAUER)
Authorized Official - Last Name:HAUER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-443-9565
Mailing Address - Street 1:2204 EL CAMINO REAL #205
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054
Mailing Address - Country:US
Mailing Address - Phone:760-443-9565
Mailing Address - Fax:760-434-3550
Practice Address - Street 1:2204 EL CAMINO REAL #205
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054
Practice Address - Country:US
Practice Address - Phone:760-443-9565
Practice Address - Fax:760-434-3550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25153103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty