| Crossroads Counseling & Consultation Services, Llc | |
|
490 Edward St Middleville MI 49333-9131 | |
| (616) 450-4925 | |
| Not Available |
| Full Name | Crossroads Counseling & Consultation Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 490 Edward St, Middleville, Michigan |
| Authorized Official Name and Position | Candace A Johnson (THERAPIST/MANAGING MEMBER) |
| Authorized Official Contact | 6164504925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling & Consultation Services, Llc 490 Edward St Middleville MI 49333-9131 Ph: (616) 450-4925 | Crossroads Counseling & Consultation Services, Llc 490 Edward St Middleville MI 49333-9131 Ph: (616) 450-4925 |
| NPI Number | 1922372796 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922372796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801082216 (Michigan) | Secondary |
| 251S00000X | Community/behavioral Health | 6801082216 (Michigan) | Primary |
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