Organization
CROSS CREEK COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M WHITE (OFFICE MANAGER)
(417) 260-5228
Entity
Organization
Contact information
Practice address
320 ICHORD AVE, SUITE C, WAYNESVILLE, MO 65583-3600
(573) 774-5800
(314) 255-1856
Mailing address
320 ICHORD AVE, SUITE C, WAYNESVILLE, MO 65583-3600
(573) 774-5800
(314) 255-1856
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003002001
MO
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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