Organization
CROSSROADS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BACHMAN (OWNER)
(801) 725-2095
Entity
Organization
Contact information
Practice address
190 S MAIN ST, STE 100, CENTERVILLE, UT 84014-2814
(801) 725-2095
Mailing address
137 E 1600 S, FARMINGTON, UT 84025-2047
(801) 756-7200
(801) 756-6641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8332548-6004
UT
Other
Enumeration date
09/10/2014
Last updated
07/27/2015
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