Individual
AMY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10195 MAIN ST STE O, FAIRFAX, VA 22031-3415
(703) 955-1759
Mailing address
10195 MAIN ST STE O, FAIRFAX, VA 22031-3415
(703) 955-1759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010249
VA
Other
Enumeration date
02/02/2021
Last updated
09/21/2021
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