Provider Demographics
NPI:1891832887
Name:CAMBRIDGE COUNSELING CENTER INC.
Entity Type:Organization
Organization Name:CAMBRIDGE COUNSELING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS MFT LADC
Authorized Official - Phone:702-451-2141
Mailing Address - Street 1:2030 E FLAMINGO RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0818
Mailing Address - Country:US
Mailing Address - Phone:702-451-2141
Mailing Address - Fax:702-451-5977
Practice Address - Street 1:2030 E FLAMINGO RD
Practice Address - Street 2:SUITE 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0818
Practice Address - Country:US
Practice Address - Phone:702-451-2141
Practice Address - Fax:702-451-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty