Organization
CROSSROADS COUNSELING AND LIFE COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA S. MOWERS LCSW (CO-OWNER)
(309) 343-0800
Entity
Organization
Contact information
Practice address
575 N KELLOGG ST, SUITE 4, GALESBURG, IL 61401-7608
(309) 343-0800
(309) 343-0802
Mailing address
575 N KELLOGG ST, SUITE 4, GALESBURG, IL 61401-7608
(309) 343-0800
(309) 343-0802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178-004809
IL
101YM0800X
Mental Health Counselor
180008809
IL
101YP2500X
Professional Counselor
Primary
178011327
IL
101YP2500X
Professional Counselor
180007544
IL
103TC0700X
Clinical Psychologist
071.005306
IL
1041C0700X
Clinical Social Worker
149.013063
IL
Other
Enumeration date
06/30/2008
Last updated
10/11/2016
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