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Organization

CROSSROADS COUNSELING CENTER

Active
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Organization

CROSSROADS COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH B. KENNEDY SR. PH.D. (EXECUTIVE DIRECTOR)
(760) 644-0977
Entity
Organization

Contact information

Practice address
4140 OCEANSIDE BLVD, STE 159-112, OCEANSIDE, CA 92056-6005
(760) 644-0977
Mailing address
4140 OCEANSIDE BLVD, STE 159-112, OCEANSIDE, CA 92056-6005
(760) 644-0977

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
712
CA

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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