Crossroads Counseling & Consultation Services, Llc | |
490 Edward St Middleville MI 49333-9131 | |
(616) 450-4925 | |
Not Available |
Full Name | Crossroads Counseling & Consultation Services, Llc |
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Speciality | Community/behavioral Health |
Location | 490 Edward St, Middleville, Michigan |
Authorized Official Name and Position | Candace A Johnson (THERAPIST/MANAGING MEMBER) |
Authorized Official Contact | 6164504925 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Counseling & Consultation Services, Llc 490 Edward St Middleville MI 49333-9131 Ph: (616) 450-4925 | Crossroads Counseling & Consultation Services, Llc 490 Edward St Middleville MI 49333-9131 Ph: (616) 450-4925 |
NPI Number | 1922372796 |
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Provider Enumeration Date | 02/27/2012 |
Last Update Date | 02/27/2012 |
Identifier | Type | State | Issuer |
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1922372796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 6801082216 (Michigan) | Secondary |
251S00000X | Community/behavioral Health | 6801082216 (Michigan) | Primary |
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