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General NPI Number Information
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NPI Number | 1942716394
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Entity Type | Organization
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Legal Business Name | CROS COUNSELING & CONSULTANTS LLC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 1242 WYNDCLIFF DR
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City | WELLINGTON
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State | FL
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Zip | 33414-5945
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Country | US
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Telephone | 561-891-5908
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Fax | 561-891-5908
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Provider Business Mailing Address
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Address Line | 1242 WYNDCLIFF DR
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City | WELLINGTON
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State | FL
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Zip | 33414-5945
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Country | US
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Telephone | 561-891-5908
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | YAZMINA C LLANOS
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Credential |
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Telephone | 561-891-5908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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