National Provider Identifier Database

CHRISTIAN COUNSELING OF COLUMBIA PA
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

CHRISTIAN COUNSELING OF COLUMBIA PA
8555 STATION VILLAGE LN
#3139
SAN DIEGO, CA92108-6543
Phone: 619-692-3736
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Clinical Neuropsychologist 103G00000X
Forensic 103TF0200X

* Indicates primary specialty

NPI Profile & details for CHRISTIAN COUNSELING OF COLUMBIA PA

NPI Number 1144463563
Legal business name
LBN
CHRISTIAN COUNSELING OF COLUMBIA PA
Authorized official JONATHAN VENN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/15/2009
Last updated 04/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PSY 22538

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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