Organization
CROSSROADS COUNSELING SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A. CHARRON LIMHP, PLADC (OWNER, CEO)
(308) 384-7119
Entity
Organization
Contact information
Practice address
2121 N WEBB RD, SUITE 200, GRAND ISLAND, NE 68803-1751
(308) 384-7119
(308) 384-7119
Mailing address
2121 N WEBB RD, SUITE 200, GRAND ISLAND, NE 68803-1751
(308) 384-7119
(308) 384-7119
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LIMHP # 89
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254520-00
—
NE
Enumeration date
09/13/2015
Last updated
09/15/2015
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