| Crossroads Counseling, Inc. | |
|
207 N Union Ave Suite G Roswell NM 88201-3068 | |
| (505) 624-0486 | |
| (505) 624-3210 |
| Full Name | Crossroads Counseling, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 207 N Union Ave, Roswell, New Mexico |
| Authorized Official Name and Position | Kathleen Freebird (OWNER, PROVIDER) |
| Authorized Official Contact | 5056240486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling, Inc. 207 N Union Ave Suite G Roswell NM 88201-3068 Ph: (505) 624-0486 | Crossroads Counseling, Inc. 207 N Union Ave Suite G Roswell NM 88201-3068 Ph: (505) 624-0486 |
| NPI Number | 1598752370 |
|---|---|
| Provider Enumeration Date | 10/05/2005 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598752370 | NPI | - | NPPES |
| 000B0036 | Medicaid | NM | |
| 66935 | Other | PRESBYTERIAN HEALTH CARE | |
| NM00RE39 | Other | NM | BLUE CROSS BLUE SHIELD |
| NM102138 | Other | NM | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-04800 (New Mexico) | Primary |
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