# CROSSROADS COUNSELING CENTER

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

## Provider details

- **NPI number:** 1881854131
- **Authorized official:** DR. JOSEPH B. KENNEDY SR. PH.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (760) 644-0977

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 712 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 06/10/2008