Crossroads Therapy Llc | |
16950 19 Mile Rd Suite 3a Clinton Twp MI 48038 | |
(586) 226-1991 | |
(586) 286-1138 |
Full Name | Crossroads Therapy Llc |
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Speciality | Marriage & Family Therapist |
Location | 16950 19 Mile Rd, Clinton Twp, Michigan |
Authorized Official Name and Position | Mark F Warchol (OWNER OPERATOR) |
Authorized Official Contact | 5862261991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Therapy Llc Po Box 380452 Clinton Twp MI 48038-0065 Ph: (586) 226-1991 | Crossroads Therapy Llc 16950 19 Mile Rd Suite 3a Clinton Twp MI 48038 Ph: (586) 226-1991 |
NPI Number | 1679642672 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1679642672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 6801060259 (Michigan) | Primary |
106H00000X | Marriage & Family Therapist | 4101006085 (Michigan) | Primary |
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