Crossroads Counseling Services | |
600 N Main St Mountain Grove MO 65711-1309 | |
(417) 926-7623 | |
Not Available |
Full Name | Crossroads Counseling Services |
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Speciality | Counselor - Professional |
Location | 600 N Main St, Mountain Grove, Missouri |
Authorized Official Name and Position | Marcella Dawn Fleetwood (OFFICE MANAGER) |
Authorized Official Contact | 4179267623 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Counseling Services 600 N Main St Mountain Grove MO 65711-1309 Ph: (417) 926-7623 | Crossroads Counseling Services 600 N Main St Mountain Grove MO 65711-1309 Ph: (417) 926-7623 |
NPI Number | 1760736326 |
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Provider Enumeration Date | 11/05/2012 |
Last Update Date | 11/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760736326 | NPI | - | NPPES |
1982973236 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Crossroads Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N Main St, Mountain Grove, MO 65711 Phone: 417-926-7623 |