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General NPI Number Information
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NPI Number | 1447125935
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Entity Type | Organization
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Legal Business Name | CROSSROADS PROFESSIONAL COUNSELING PLLC
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 501 SE 4TH ST STE C
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City | MOORE
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State | OK
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Zip | 73160-6831
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Country | US
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Telephone | 405-818-4594
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SE 4TH ST STE C
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City | MOORE
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State | OK
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Zip | 73160-6831
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Country | US
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Telephone | 405-818-4594
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARC NEUFELD
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Credential | MS, LPC, LMFT
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Telephone | 405-818-4594
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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 |
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License Number State |
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