Organization
CROSSROADS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KITTILSON MS, LICSW, LADC (OWNER/THERAPIST)
(651) 276-8446
Entity
Organization
Contact information
Practice address
6053 HUDSON RD STE 192, WOODBURY, MN 55125-1015
(651) 276-8446
Mailing address
6053 HUDSON RD STE 192, WOODBURY, MN 55125-1015
(651) 276-8446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301518
MN
1041C0700X
Clinical Social Worker
Primary
13033
MN
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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