Church Counseling Service INC
Marriage & Family Therapist in Upland, CA. Organization (NPI-2).
NPI number1265711642
StatusActive
Last updated in NPPESAug 16, 2011
Details
- NPI
- 1265711642
- Entity type
- Organization (NPI-2)
- Legal business name
- Church Counseling Service INC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2011
- Last updated
- Aug 16, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MF013902 | CA | Yes |
Practice location
188 W Langston StUpland, CA 91786-3123
Phone 909-982-8687
Mailing address
188 W Langston StUpland, CA 91786-3123
Phone 909-982-8687
Authorized official
Richard Fort
President
9099828687
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