| Crossroads Counseling Center Pllc | |
|
726 Western Ave. Manchester ME 04351 | |
| (207) 512-5131 | |
| (888) 293-3442 |
| Full Name | Crossroads Counseling Center Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 726 Western Ave., Manchester, Maine |
| Authorized Official Name and Position | Shawn Kenneth Hodgdon (CEO) |
| Authorized Official Contact | 2075125131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Center Pllc Po Box 251 Manchester ME 04351-0251 Ph: (207) 512-5131 | Crossroads Counseling Center Pllc 726 Western Ave. Manchester ME 04351 Ph: (207) 512-5131 |
| NPI Number | 1437312295 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437312295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Waters Edge Therapy, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 127 Worthing Rd, Manchester, ME 04351 Phone: 207-530-0880 |