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Organization

CROSS ROADS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEONNA FIELDS (CONSULTANT)
(304) 767-8919
Entity
Organization

Contact information

Practice address
1159 COUNTY ROAD 411, PROCTORVILLE, OH 45669-9409
(740) 861-9171
Mailing address
1159 COUNTY ROAD 411, PROCTORVILLE, OH 45669-9409
(740) 861-9171

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/31/2024
Last updated
07/31/2024
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