Crossroads Therapy PLLC
Social Worker, Clinical in Minot, ND. Organization (NPI-2).
NPI number1164064341
StatusActive
Last updated in NPPESOct 9, 2019
Details
- NPI
- 1164064341
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2019
- Last updated
- Oct 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
600 22nd Ave Nw Ste 2Minot, ND 58703-0986
Phone 701-818-7727
Mailing address
1816 7th St NwMinot, ND 58703-1315
Phone 701-818-7727
Authorized official
Brenna Lynn Thompson
Licensed Clinical Social Worker/Own
7018187727
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