Organization
CROSSROADS CHRISTIAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA KAREN KULLBERG L.M.F.T. (LICENSED MARRIAGE/ FAMILY THERAPIST)
(612) 747-7224
Entity
Organization
Contact information
Practice address
4165 SHORELINE DR, SUITE 15, SPRING PARK, MN 55384-9659
(612) 747-7224
Mailing address
4165 SHORELINE DR, SUITE 15, SPRING PARK, MN 55384-9659
(612) 747-7224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1886
MN
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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