Organization
CROSSROADS COMMUNITY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M MURPHY (PASTOR)
(630) 428-1056
Entity
Organization
Contact information
Practice address
1701 QUINCY AVE, SUITE 31, NAPERVILLE, IL 60540-3955
(630) 428-1056
(630) 428-1167
Mailing address
1701 QUINCY AVE, SUITE 31, NAPERVILLE, IL 60540-3955
(630) 428-1056
(630) 428-1167
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002227811
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
08/30/2006
Last updated
08/22/2020
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