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General NPI Number Information
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NPI Number | 1346419264
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Entity Type | Organization
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Legal Business Name | CROSSROADS COUNSELING, PLLC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3830 PACKARD ST STE 160
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City | ANN ARBOR
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State | MI
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Zip | 48108-2357
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Country | US
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Telephone | 734-929-9703
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Fax | 734-929-9703
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Provider Business Mailing Address
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Address Line | 3830 PACKARD ST STE 160
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City | ANN ARBOR
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State | MI
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Zip | 48108-2357
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Country | US
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Telephone | 734-929-9703
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROBIN DIXON
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Credential |
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Telephone | 734-929-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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