| Community Counseling Connection, Inc. | |
|
13305 Penn St Ste 140 Whittier CA 90602-1796 | |
| (562) 551-2630 | |
| Not Available |
| Full Name | Community Counseling Connection, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 13305 Penn St Ste 140, Whittier, California |
| Authorized Official Name and Position | Guisella Conroy (OWNER) |
| Authorized Official Contact | 5625512630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Connection, Inc. 13305 Penn St Ste 140 Whittier CA 90602-1796 Ph: (562) 551-2630 | Community Counseling Connection, Inc. 13305 Penn St Ste 140 Whittier CA 90602-1796 Ph: (562) 551-2630 |
| NPI Number | 1588362180 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 8022473891 |
|---|---|
| Medicare Enrollment ID | O20230501000496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588362180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Guisella Paola Conroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285983635 PECOS PAC ID: 5698171767 Enrollment ID: I20210915001566 |
| Provider Name | Molly Applegate Moffitt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629675640 PECOS PAC ID: 7416393806 Enrollment ID: I20240307002283 |
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