Individual
MRS. MELISSA DELANE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9351 N JUSTICE WAY, HAYDEN, ID 83835-5025
(757) 439-2624
Mailing address
9351 N JUSTICE WAY, HAYDEN, ID 83835-5025
(757) 439-2624
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC-9009
ID
Other
Enumeration date
07/26/2022
Last updated
08/10/2022
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