| Cross Roads | |
|
1159 County Road 411 Proctorville OH 45669-9409 | |
| (740) 861-9171 | |
| Not Available |
| Full Name | Cross Roads |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1159 County Road 411, Proctorville, Ohio |
| Authorized Official Name and Position | Deonna Fields (CONSULTANT) |
| Authorized Official Contact | 3047678919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Roads 1159 County Road 411 Proctorville OH 45669-9409 Ph: (740) 861-9171 | Cross Roads 1159 County Road 411 Proctorville OH 45669-9409 Ph: (740) 861-9171 |
| NPI Number | 1336978071 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336978071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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