Provider Demographics
NPI:1891844460
Name:CAPITAL VALLEY COUNSELING ASSOCIATES, INC.
Entity type:Organization
Organization Name:CAPITAL VALLEY COUNSELING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KINSLER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:603-228-7300
Mailing Address - Street 1:8 CENTRE ST
Mailing Address - Street 2:STE 2
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-6302
Mailing Address - Country:US
Mailing Address - Phone:603-228-7300
Mailing Address - Fax:603-228-7301
Practice Address - Street 1:8 CENTRE ST
Practice Address - Street 2:STE 2
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6302
Practice Address - Country:US
Practice Address - Phone:603-228-7300
Practice Address - Fax:603-228-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE3306Medicare ID - Type UnspecifiedMASTERS-LEVEL CLINICIANS
NHRE3305Medicare ID - Type UnspecifiedPSYCHOLOGISTS