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General NPI Number Information
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NPI Number | 1366890840
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Entity Type | Organization
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Legal Business Name | CROSSROADS COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 09/19/2017
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Provider Practice Location Address
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Address Line | 573 FAIRVIEW RD SUITE 6
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City | ASHEVILLE
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State | NC
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Zip | 28803-1345
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Country | US
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Telephone | 828-327-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 255 18TH STREET SE
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City | HICKORY
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State | NC
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Zip | 28602-1364
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Country | US
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Telephone | 828-327-6633
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Fax | 828-327-3385
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ALISA BUCHANAN
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Credential |
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Telephone | 828-327-6633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4653
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004115
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License Number State | NC
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