Organization
CROSS COUNSELING AND COACHING, INC.
Active
Other names
CHILD & ADOLESCENT COUNSELING, THERAPY & SUPPORT
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN R. CROSS LCSW (CLINIC DIRECTOR)
(618) 207-2547
Entity
Organization
Contact information
Practice address
7 BRONZE POINTE S STE B2, SWANSEA, IL 62226-8308
(618) 207-2547
Mailing address
7 BRONZE POINTE S STE B2, SWANSEA, IL 62226-8308
(618) 207-2547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149018702
CLINICAL SOCIAL WORK LICENSE
IL
Enumeration date
08/28/2020
Last updated
08/28/2020
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