Organization
CROSSROADS COUNSELING & CONSULTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDACE A JOHNSON L.M.S.W. (THERAPIST/MANAGING MEMBER)
(616) 450-4925
Entity
Organization
Contact information
Practice address
490 EDWARD ST, MIDDLEVILLE, MI 49333-9131
(616) 450-4925
Mailing address
490 EDWARD ST, MIDDLEVILLE, MI 49333-9131
(616) 450-4925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801082216
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801082216
MI
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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