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General NPI Number Information
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NPI Number | 1922318351
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Entity Type | Organization
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Legal Business Name | CROSSROADS COUNSELING SERVICES, CORP
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 13655 W JEWELL AVE STE 201B
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City | LAKEWOOD
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State | CO
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Zip | 80228-6031
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Country | US
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Telephone | 303-503-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 13655 W JEWELL AVE STE 201B
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City | LAKEWOOD
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State | CO
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Zip | 80228-6031
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Country | US
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Telephone | 303-503-5225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARRIE L CERRETA-KESSIE
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Credential | LPC
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Telephone | 303-503-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC3013
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License Number State | CO
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