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Organization

CROSSROADS FAMILY COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRAVIS EUGENE FRYE MA, LPC (OWNER AND FOUNDER)
(623) 680-3486
Entity
Organization

Contact information

Practice address
4614 E SHEA BLVD, PHOENIX, AZ 85028-3081
(602) 316-7134
Mailing address
39737 N HIGH NOON WAY, ANTHEM, AZ 85086-2376
(623) 551-9234

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12149
AZ

Other

Enumeration date
03/27/2006
Last updated
02/04/2009
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