Provider Demographics
NPI:1861863680
Name:MEDICAL SOCIAL SERVICES CONSULTATION INC.
Entity Type:Organization
Organization Name:MEDICAL SOCIAL SERVICES CONSULTATION INC.
Other - Org Name:REDDING COUNSELORS GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:BROWER
Authorized Official - Last Name:SIMONETTA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:530-524-6085
Mailing Address - Street 1:630 AZALEA AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0217
Mailing Address - Country:US
Mailing Address - Phone:530-524-6085
Mailing Address - Fax:
Practice Address - Street 1:630 AZALEA AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0217
Practice Address - Country:US
Practice Address - Phone:530-524-6085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS246891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty