Organization
CROSSROADS COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH V BJORGE PHD (MANAGING MEMBER)
(815) 578-4222
Entity
Organization
Contact information
Practice address
3510 CHAPEL HILL RD, JOHNSBURG, IL 60051-2506
(815) 578-4222
Mailing address
3510 CHAPEL HILL RD, JOHNSBURG, IL 60051-2506
(815) 578-4222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.006572
IL
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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