Provider Demographics
NPI:1215300785
Name:MULTICULTURAL COUNSELING CENTER INC
Entity type:Organization
Organization Name:MULTICULTURAL COUNSELING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:BATRIZ GUADALUPE
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-807-4122
Mailing Address - Street 1:7340 S CAMINO BELLO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-8304
Mailing Address - Country:US
Mailing Address - Phone:520-807-4122
Mailing Address - Fax:520-294-1901
Practice Address - Street 1:4455 S PARK AVE STE 112
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-1669
Practice Address - Country:US
Practice Address - Phone:520-807-4122
Practice Address - Fax:520-294-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3485251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health