Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1881976488 |
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| LBN Legal business name | CHRISTIAN CHANGES COUNSELING & CONSULTING | ||||
| Authorized official | WENDIE WOODS - (EXECUTIVE & CLINICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/09/2011 | ||||
| Last updated | 09/09/2011 - About 15 years ago | ||||
| Identifiers |
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