Provider Demographics
NPI:1598023475
Name:INSTITUTE FOR COUNSELING INC
Entity type:Organization
Organization Name:INSTITUTE FOR COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:KOONIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-688-1035
Mailing Address - Street 1:2725 CONGRESS ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2767
Mailing Address - Country:US
Mailing Address - Phone:619-688-1035
Mailing Address - Fax:619-688-1098
Practice Address - Street 1:2725 CONGRESS ST STE 2C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2767
Practice Address - Country:US
Practice Address - Phone:619-688-1035
Practice Address - Fax:619-688-1098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALL107931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty