Organization
CROSSROADS THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEJUAN JOYCE LUNDY LPC, LCAS-A (MEMBER/ORGANIZER)
(919) 225-9315
Entity
Organization
Contact information
Practice address
99 VILLAGE DR, SUITE 18-4, JACKSONVILLE, NC 28546-7067
(910) 939-5144
(910) 939-5934
Mailing address
99 VILLAGE DR, SUITE 18-4, JACKSONVILLE, NC 28546-7067
(910) 939-5144
(910) 939-5934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/03/2014
Last updated
06/12/2014
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