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General NPI Number Information
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NPI Number | 1134291271
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Entity Type | Organization
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Legal Business Name | CROSSROADS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 224 S BROADWAY ST
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City | STANLEY
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State | WI
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Zip | 54768-1011
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Country | US
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Telephone | 715-644-4357
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Fax | 715-644-5053
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Provider Business Mailing Address
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Address Line | 224 S BROADWAY ST
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City | STANLEY
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State | WI
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Zip | 54768-1011
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Country | US
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Telephone | 715-644-4357
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Fax | 715-644-5053
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Authorized Official
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Title or Position | OWNER AND DIRECTOR
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Name | KAREN J KOLTIS
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Credential | MS,LPC,LMFT,CADC
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Telephone | 715-644-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2219
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2219
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License Number State | WI
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