Organization
CROSSROADS COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN KENNETH HODGDON LCSW (CEO)
(207) 512-5131
Entity
Organization
Contact information
Practice address
726 WESTERN AVE., MANCHESTER, ME 04351
(207) 512-5131
(888) 293-3442
Mailing address
PO BOX 251, MANCHESTER, ME 04351-0251
(207) 512-5131
(888) 293-3442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
10/15/2012
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