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General NPI Number Information
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NPI Number | 1700641917
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Entity Type | Organization
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Legal Business Name | CROSS CONNECTION COUNSELING LLC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 650 PADER
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-0053
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Country | US
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Telephone | 830-308-9250
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 311201
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City | NEW BRAUNFELS
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State | TX
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Zip | 78131-1201
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Country | US
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Telephone | 210-570-9183
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | KIMBERLY CROSS
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Credential |
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Telephone | 183-030-8925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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