Crossroads Counseling Center PLLC
Social Worker, Clinical in Manchester, ME. Organization (NPI-2).
NPI number1437312295
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1437312295
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Counseling Center PLLC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2008
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
726 Western Ave.Manchester, ME 04351
Phone 207-512-5131 · Fax 888-293-3442
Mailing address
Po Box 251Manchester, ME 04351-0251
Phone 207-512-5131 · Fax 888-293-3442
Authorized official
Shawn Kenneth Hodgdon
Ceo
2075125131
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