Crossroads Treatment Center, Inc. | |
10828 Gravelly Lake Dr Sw Ste 204 Lakewood WA 98499-1346 | |
(253) 473-7474 | |
(253) 474-9724 |
Full Name | Crossroads Treatment Center, Inc. |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 10828 Gravelly Lake Dr Sw Ste 204, Lakewood, Washington |
Authorized Official Name and Position | Kelley Nelson Whitty-sandaker (CDPT INTERN) |
Authorized Official Contact | 8502180752 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crossroads Treatment Center, Inc. 10828 Gravelly Lake Dr Sw Ste 204 Lakewood WA 98499-1346 Ph: (253) 473-7474 | Crossroads Treatment Center, Inc. 10828 Gravelly Lake Dr Sw Ste 204 Lakewood WA 98499-1346 Ph: (253) 473-7474 |
NPI Number | 1417397951 |
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Provider Enumeration Date | 06/28/2013 |
Last Update Date | 06/28/2013 |
Identifier | Type | State | Issuer |
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1417397951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60367121 (Washington) | Primary |
Paul Kenneth Henry Med Lmhc Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9101 Bridgeport Way Sw Ste D2, Lakewood, WA 98499 Phone: 253-394-6045 | |
Lakewood Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10310 Gravelly Lake Dr Sw Ste B, Lakewood, WA 98499 Phone: 253-888-3405 | |