Organization
CROSSROADS COUNSELING & PSYCHOTHERAPY, LLC
Active
Organization
CROSSROADS COUNSELING & PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH RIZZO KOURGELIS LCSW, LCADC (OWNER)
(201) 694-1648
Entity
Organization
Contact information
Practice address
36 RIVERVIEW TER, MAHWAH, NJ 07430-1607
(201) 694-1648
Mailing address
36 RIVERVIEW TER, MAHWAH, NJ 07430-1607
(201) 694-1648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00165200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05300400
NJ
Other
Enumeration date
07/26/2018
Last updated
06/20/2024
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