| Crossroads Counseling & Psychotherapy, Llc | |
|
36 Riverview Ter Mahwah NJ 07430-1607 | |
| (201) 694-1648 | |
| Not Available |
| Full Name | Crossroads Counseling & Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 36 Riverview Ter, Mahwah, New Jersey |
| Authorized Official Name and Position | Deborah Rizzo Kourgelis (OWNER) |
| Authorized Official Contact | 2016941648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling & Psychotherapy, Llc 36 Riverview Ter Mahwah NJ 07430-1607 Ph: (201) 694-1648 | Crossroads Counseling & Psychotherapy, Llc 36 Riverview Ter Mahwah NJ 07430-1607 Ph: (201) 694-1648 |
| NPI Number | 1962989442 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962989442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00165200 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05300400 (New Jersey) | Primary |
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