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Organization

KINDMIND CROSSROADS & COUNSELING, LLC

Active
Other names
KindMind Crossroads
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK THOMAS HALE MSW, LICSW (OWNER & CEO)
(617) 420-2296
Entity
Organization

Contact information

Practice address
71 WIGGLESWORTH ST, MALDEN, MA 02148-7436
(617) 420-2296
Mailing address
51 PLEASANT ST # 1179, MALDEN, MA 02148-4904
(617) 420-2296

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LICSW119955
BOARD OF REGISTRATION OF SOCIAL WORK
MA
Enumeration date
01/10/2025
Last updated
01/15/2025
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