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General NPI Number Information
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NPI Number | 1992573463
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Entity Type | Organization
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Legal Business Name | CROSSROADS COUNSELING CENTER, PLLC
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 5803 JOHN STOCKBAUER DR STE M
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City | VICTORIA
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State | TX
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Zip | 77904-3506
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Country | US
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Telephone | 361-648-5207
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Fax | 346-395-5110
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Provider Business Mailing Address
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Address Line | 5803 JOHN STOCKBAUER DR STE M
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City | VICTORIA
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State | TX
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Zip | 77904-3506
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Country | US
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Telephone | 361-648-5207
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Fax | 346-395-5110
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. LINDA SWANSON LEDWIG
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Credential | LPC
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Telephone | 361-648-5207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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