Organization
CROSSROAD COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE COOPE MSC, LMHC (DIRECTOR/OWNER)
(253) 426-5319
Entity
Organization
Contact information
Practice address
33530 1ST WAY S, SUITE 102, FEDERAL WAY, WA 98003-7332
(253) 426-5319
Mailing address
1933 NORMA RD NE, TACOMA, WA 98422-1342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH60127666
WA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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