Crossroad To Change | |
5201 Johnson Dr Ste 305 Mission KS 66205-2920 | |
(660) 924-2425 | |
(913) 229-7511 |
Full Name | Crossroad To Change |
---|---|
Speciality | Counselor - Mental Health |
Location | 5201 Johnson Dr Ste 305, Mission, Kansas |
Authorized Official Name and Position | Neona K Russ (OWNER) |
Authorized Official Contact | 6609242425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crossroad To Change 5201 Johnson Dr Ste 305 Mission KS 66205-2920 Ph: (660) 924-2425 | Crossroad To Change 5201 Johnson Dr Ste 305 Mission KS 66205-2920 Ph: (660) 924-2425 |
NPI Number | 1457122830 |
---|---|
Provider Enumeration Date | 01/12/2024 |
Last Update Date | 01/12/2024 |
Certification Date | 01/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457122830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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