Provider Demographics
NPI:1407028145
Name:AIN COUNSELING
Entity type:Organization
Organization Name:AIN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:CDVF
Authorized Official - Phone:928-783-1505
Mailing Address - Street 1:2450 S 4TH AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8589
Mailing Address - Country:US
Mailing Address - Phone:928-783-1505
Mailing Address - Fax:928-783-1038
Practice Address - Street 1:2450 S 4TH AVE STE 208
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8589
Practice Address - Country:US
Practice Address - Phone:928-783-1505
Practice Address - Fax:928-783-1038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-2994251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health