| Crossroad To Change | |
|
5201 Johnson Dr Ste 305 Mission KS 66205-2920 | |
| (660) 924-2425 | |
| (913) 229-7511 |
| Full Name | Crossroad To Change |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5201 Johnson Dr Ste 305, Mission, Kansas |
| Authorized Official Name and Position | Neona K Russ (OWNER) |
| Authorized Official Contact | 6609242425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroad To Change 5201 Johnson Dr Ste 305 Mission KS 66205-2920 Ph: (660) 924-2425 | Crossroad To Change 5201 Johnson Dr Ste 305 Mission KS 66205-2920 Ph: (660) 924-2425 |
| NPI Number | 1457122830 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457122830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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