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General NPI Number Information
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NPI Number | 1710091277
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Entity Type | Organization
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Legal Business Name | CROSSWINDS COUNSELING SERVICES INC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 2510 S RURAL RD STE 107
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City | TEMPE
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State | AZ
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Zip | 85282-2497
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Country | US
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Telephone | 480-329-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 S RURAL RD STE 107
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City | TEMPE
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State | AZ
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Zip | 85282-2497
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Country | US
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Telephone | 480-329-4348
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSEPH W PATTERSON
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Credential | PH.D.
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Telephone | 480-329-4348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BH2430
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BH2430
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BH2430
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License Number State | AZ
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