| Crossroads Counseling Center Ridgeland | |
|
5611 Highway 80 E. Pearl MS 39208 | |
| (601) 939-6634 | |
| (601) 420-9252 |
| Full Name | Crossroads Counseling Center Ridgeland |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5611 Highway 80 E., Pearl, Mississippi |
| Authorized Official Name and Position | Perry Sanderford (DIRECTOR) |
| Authorized Official Contact | 6019396634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Center Ridgeland Po Box 413 Brandon MS 39043-0413 Ph: (601) 939-6634 | Crossroads Counseling Center Ridgeland 5611 Highway 80 E. Pearl MS 39208 Ph: (601) 939-6634 |
| NPI Number | 1669759882 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669759882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 373 (Mississippi) | Primary |
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