Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X | |||
Clinic/Center |
261Q00000X | |||
Public Health, State or Local |
261QP0905X | |||
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1972352243 |
| LBN Legal business name | CONSEJO COUNSELING AND REFERRAL SERVICES |
| Authorized official | SHANA BOSCHMA - (IS DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/17/2024 |
| Last updated | 05/19/2025 - More than a year ago |
| Identifiers | n/a |
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