Healthcare Provider Details

I. General information

NPI: 1780177444
Provider Name (Legal Business Name): COUNSELING AND RESEARCH ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12715 PIONEER BLVD
NORWALK CA
90650
US

IV. Provider business mailing address

12715 PIONEER BLVD
NORWALK CA
90650-2873
US

V. Phone/Fax

Practice location:
  • Phone: 310-747-3165
  • Fax: 562-282-0133
Mailing address:
  • Phone: 310-747-3165
  • Fax: 562-282-0133

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: CHIEF CONTRACTS AND REVENUE OFFICER
Credential: LCSW
Phone: 310-715-2020