| Counseling Ministry Of Charles De Foucauld, Inc. | |
|
626 W. Lancaster Blvd. #104 Lancaster CA 93534 | |
| (661) 470-9410 | |
| Not Available |
| Full Name | Counseling Ministry Of Charles De Foucauld, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 626 W. Lancaster Blvd. #104, Lancaster, California |
| Authorized Official Name and Position | Kenneth Brett Moeller (PRESIDENT, COUNSELING MINISTRY OF C) |
| Authorized Official Contact | 6613614095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Ministry Of Charles De Foucauld, Inc. P.o. Box 390 Lancaster CA 93584-0390 Ph: (661) 470-9410 | Counseling Ministry Of Charles De Foucauld, Inc. 626 W. Lancaster Blvd. #104 Lancaster CA 93534 Ph: (661) 470-9410 |
| NPI Number | 1376381657 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376381657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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