# CROSSROADS CHURCH AN EVANGELICAL FREE CHURCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740016096
- **Authorized official:** MATHEW COTTON LMFT (DIRECTOR OF COUNSELING)
- **Authorized official phone:** (209) 585-3713

## Contact information

- **Practice address:** 1360 N JOHNSON RD, TURLOCK, CA 95380-3507
- **Practice address phone:** (209) 585-3173
- **Mailing address:** 1360 N JOHNSON RD, TURLOCK, CA 95380-3507
- **Mailing address phone:** (209) 585-3173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 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