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General NPI Number Information
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NPI Number | 1861610792
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Entity Type | Individual
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Provider Name | CHRISA JULIETTE CROSS M.S., LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15851 DALLAS PKWY SUITE 600
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City | ADDISON
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State | TX
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Zip | 75001-3369
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Country | US
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Telephone | 214-561-8707
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Fax | 972-398-1403
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Provider Business Mailing Address
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Address Line | 15851 DALLAS PKWY SUITE 600
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City | ADDISON
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State | TX
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Zip | 75001-3369
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Country | US
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Telephone | 214-561-8707
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Fax | 972-398-1403
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12484
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License Number State | TX
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