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General NPI Number Information
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NPI Number | 1780570903
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Entity Type | Organization
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Legal Business Name | CROSSLAND COUNSELING PLLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1703 EVANS RD APT 6308
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7047
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Country | US
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Telephone | 361-563-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 EVANS RD APT 6308
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7047
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Country | US
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Telephone | 361-563-6802
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JESSICA NICHOLE CROSSLAND
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Credential | LPC
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Telephone | 361-563-6802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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