| Columbine Counseling Center | |
|
22984 Twain Harte Drive Twain Harte CA 95383 | |
| (209) 586-6868 | |
| Not Available |
| Full Name | Columbine Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22984 Twain Harte Drive, Twain Harte, California |
| Authorized Official Name and Position | John Jack Pool (OWNER) |
| Authorized Official Contact | 2095866868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbine Counseling Center Po Box 1477 Twain Harte CA 95383-1477 Ph: (209) 586-6868 | Columbine Counseling Center 22984 Twain Harte Drive Twain Harte CA 95383 Ph: (209) 586-6868 |
| NPI Number | 1851530562 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851530562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFT30749 (California) | Primary |
Fgb Behavioral Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20165 Fallen Leaf Ln, Twain Harte, CA 95383 Phone: 209-996-0097 |