Provider Demographics
NPI:1316352917
Name:NORTH STAR COUNSELING CENTER
Entity type:Organization
Organization Name:NORTH STAR COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCATEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-873-3262
Mailing Address - Street 1:800 W ELM ST # 6
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-2524
Mailing Address - Country:US
Mailing Address - Phone:760-873-4206
Mailing Address - Fax:760-873-4206
Practice Address - Street 1:800 W ELM ST # 6
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-2524
Practice Address - Country:US
Practice Address - Phone:760-873-4206
Practice Address - Fax:760-873-4206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health