| Imani Christian Counseling Services, Llc | |
|
5651 N Pershing Ave C-5 Stockton CA 95207-4947 | |
| (209) 475-8428 | |
| (209) 475-8479 |
| Full Name | Imani Christian Counseling Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5651 N Pershing Ave, Stockton, California |
| Authorized Official Name and Position | Sharmaine D Barnes (OWNER) |
| Authorized Official Contact | 2094758428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imani Christian Counseling Services, Llc 5651 N Pershing Ave C-5 Stockton CA 95207-4947 Ph: (209) 475-8428 | Imani Christian Counseling Services, Llc 5651 N Pershing Ave C-5 Stockton CA 95207-4947 Ph: (209) 475-8428 |
| NPI Number | 1992111660 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992111660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 80569 (California) | Primary |
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