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NPI Code Detail

MEDICARE: COMPLETE COUNSELING SERVICES, INC

MEDICARE: COMPLETE COUNSELING SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency25965CA

General Provider Information

NPI Number : 1649594409
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPLETE COUNSELING SERVICES, INC
Provider Business Mailing Address
First Line : 14954 WESTFORK LN
Second Line :
City : FONTANA
State : CA
Zip : 92336-0746
Country : US
Telephone Number : 909-234-8880
Fax Number : 909-482-2211
Provider Business Practice Location Address
First Line : 250 W 1ST ST STE 242
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4742
Country : US
Telephone Number : 909-234-8880
Fax Number : 909-482-2211
Authorized Official
Title or Position : CEO OWNER
Name : MS. DRAGANA GAJIC
Credential : LCSW
Telephone Number : 909-234-8880
Provider Enumeration Date : 03/23/2010
Last Update Date : 03/23/2010

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Directions to “COMPLETE COUNSELING SERVICES, INC ” Practice Location

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