Healthcare Provider Details

I. General information

NPI: 1386824415
Provider Name (Legal Business Name): COUNSELING AND RESEARCH ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12715 PIONEER BLVD
NORWALK CA
90650-2873
US

IV. Provider business mailing address

108 W VICTORIA ST
GARDENA CA
90248-3523
US

V. Phone/Fax

Practice location:
  • Phone: 310-747-3165
  • Fax:
Mailing address:
  • Phone: 310-715-2020
  • Fax: 310-660-0494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA TINDBAEK
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 310-715-2020