Individual
JESSI PRISCILLA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPAT ATR
Contact information
Practice address
621 OLD SANTA FE TRL STE 12, SANTA FE, NM 87505-1300
(505) 316-1845
Mailing address
PO BOX 32394, SANTA FE, NM 87594-2394
(505) 316-1845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0134691
NM
Other
Enumeration date
01/31/2008
Last updated
04/21/2011
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