Organization
CROSSROADS COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN FREEBIRD LISW (OWNER, PROVIDER)
(505) 624-0486
Entity
Organization
Contact information
Practice address
207 N UNION AVE, SUITE G, ROSWELL, NM 88201-3068
(505) 624-0486
(505) 624-3210
Mailing address
207 N UNION AVE, SUITE G, ROSWELL, NM 88201-3068
(505) 624-0486
(505) 624-3210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-04800
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B0036
—
NM
01
—
66935
PRESBYTERIAN HEALTH CARE
—
01
—
NM00RE39
BLUE CROSS BLUE SHIELD
NM
01
—
NM102138
VALUE OPTIONS
NM
Enumeration date
10/05/2005
Last updated
07/10/2007
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