Provider Demographics
NPI:1750579082
Name:CERTIFIED COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:CERTIFIED COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:HONKALA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:240-925-6570
Mailing Address - Street 1:29190 THREE NOTCH RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3283
Mailing Address - Country:US
Mailing Address - Phone:301-884-8700
Mailing Address - Fax:301-884-8600
Practice Address - Street 1:29190 THREE NOTCH RD
Practice Address - Street 2:SUITE 2
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-3283
Practice Address - Country:US
Practice Address - Phone:301-884-8700
Practice Address - Fax:301-884-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA002251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health