| NPI | 1740903517 |
|---|---|
| Other Name | MINDFUL CROSSROADS COUNSELING SERVICES, LLC |
| Former Legal Business Name | MINDFUL CROSSROADS COUNSELING |
| Entity Type | Organization |
| Authorized Contact | ALLIE LYN VANSICKLE Mental Health Therapist 802-343-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-02 |