The Center for Christian Counseling, Consultation and Training Inc.

NPI #1073703997 in Madison, Wisconsin

Provider Information

NPI Number: 1073703997
Entity Type: Organization
Organization Name: The Center for Christian Counseling, Consultation and Training Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 26, 2007
Last Updated: Jun 16, 2010

Practice Location

Address: 5310 WALL STREET
Address 2: SUITE 500
City: Madison
State: Wisconsin
ZIP Code: 53718
Phone: (608) 274-8294

Authorized Official

Name: MR. KEVIN CARL RANDALL, MSW
Title: CLINICAL DIRECTOR/OWNER
Phone: (608) 274-8294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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