| Crossroads Counseling Services Llc | |
|
6053 Hudson Rd Ste 192 Woodbury MN 55125-1015 | |
| (651) 276-8446 | |
| Not Available |
| Full Name | Crossroads Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6053 Hudson Rd Ste 192, Woodbury, Minnesota |
| Authorized Official Name and Position | Brenda Kittilson (OWNER/THERAPIST) |
| Authorized Official Contact | 6512768446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Services Llc 6053 Hudson Rd Ste 192 Woodbury MN 55125-1015 Ph: (651) 276-8446 | Crossroads Counseling Services Llc 6053 Hudson Rd Ste 192 Woodbury MN 55125-1015 Ph: (651) 276-8446 |
| NPI Number | 1043651052 |
|---|---|
| Provider Enumeration Date | 07/08/2013 |
| Last Update Date | 07/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043651052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 301518 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 13033 (Minnesota) | Primary |
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