Provider Demographics
NPI:1871048017
Name:COMPASS CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:COMPASS CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:LMHCA
Authorized Official - Phone:360-216-9918
Mailing Address - Street 1:15510 NE 35TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-8494
Mailing Address - Country:US
Mailing Address - Phone:360-216-9918
Mailing Address - Fax:
Practice Address - Street 1:11105 NE 14TH ST STE 103
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4309
Practice Address - Country:US
Practice Address - Phone:360-216-9918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603611250261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)