Organization Name: | CROSSROADS COUNSELING CENTER, PLLC |
NPI Number: | 1992850754 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE C MARASCO (CO-MANAGER) |
Mailing Address: | 216 Lafayette Rd Suite 206 North Hampton |
State: | NH US |
Postal Code: | 038622445 |
Phone Number: | 6039641700 |
Fax Number: | 6039641701 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |