Organization
CROSSROADS DISCOVERY
Active
Other names
Crossroads Discovery
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BUNKER (OFFICE MANAGER)
(623) 850-8034
Entity
Organization
Contact information
Practice address
654 W NARANJA AVE, MESA, AZ 85210-7435
(623) 850-8034
Mailing address
654 W NARANJA AVE, MESA, AZ 85210-7435
(623) 850-8034
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1
N/A
—
Enumeration date
10/26/2021
Last updated
10/26/2021
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