Organization
CROSSROADS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SUZANNE GORDON LCSW (THERAPIST)
(904) 853-7780
Entity
Organization
Contact information
Practice address
408 4TH ST N, JACKSONVILLE BEACH, FL 32250-5620
(904) 853-7780
Mailing address
333 9TH ST, ATLANTIC BEACH, FL 32233-5437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14099
FL
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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