# CANDACE CROSS COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235886268
- **Authorized official:** CANDACE CROSS (MANAGING MEMBER)
- **Authorized official phone:** (859) 395-9466

## Contact information

- **Practice address:** 3070 LAKECREST CIR STE 400156, LEXINGTON, KY 40513-1937
- **Practice address phone:** (859) 305-9466
- **Mailing address:** 3070 LAKECREST CIR STE 400156, LEXINGTON, KY 40513-1937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022