Provider Demographics
NPI:1801945340
Name:FAMILY FOCUS CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:FAMILY FOCUS CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:619-440-4211
Mailing Address - Street 1:500 FESLER ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1968
Mailing Address - Country:US
Mailing Address - Phone:619-440-4211
Mailing Address - Fax:
Practice Address - Street 1:500 FESLER ST
Practice Address - Street 2:SUITE 208
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1968
Practice Address - Country:US
Practice Address - Phone:619-440-4211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45528007251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable