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Individual

ANDRIANNA CROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
809 COSHOCTON AVE, MOUNT VERNON, OH 43050-1900
(866) 534-2639
Mailing address
509 N SANDUSKY ST, MOUNT VERNON, OH 43050-2031
(740) 485-3889

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.188364
OH
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004167
OH
Enumeration date
05/06/2022
Last updated
01/06/2026
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