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Organization
CROSSROADS CHURCH AN EVANGELICAL FREE CHURCH
Active
Organization
CROSSROADS CHURCH AN EVANGELICAL FREE CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW COTTON LMFT (DIRECTOR OF COUNSELING)
(209) 585-3713
Entity
Organization
Contact information
Practice address
1360 N JOHNSON RD, TURLOCK, CA 95380-3507
(209) 585-3173
Mailing address
1360 N JOHNSON RD, TURLOCK, CA 95380-3507
(209) 585-3173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
102L00000X
Psychoanalyst
—
NULL
102L00000X
Psychoanalyst
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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