MEDICARE: WEST CENTRAL COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1041C0700X	Clinical Social Worker
2	106H00000X	Marriage & Family Therapist
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649846650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST CENTRAL COUNSELING LLC

Provider Business Mailing Address
First Line	:	810 HENRY AVE
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-5200
Country	:	US
Telephone Number	:	320-759-3096
Fax Number	:	320-759-3097

Provider Business Practice Location Address
First Line	:	810 HENRY AVE
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-5200
Country	:	US
Telephone Number	:	320-759-3096
Fax Number	:	320-759-3097

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JEFFREY CARL CROSS
Credential	:
Telephone Number	:	320-760-4107

Provider Enumeration Date	:	06/01/2021
Last Update Date	:	02/24/2026

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