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Individual

KATE KATHLEEN LARAINE CROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC, LIMHP

Contact information

Practice address
20 FRANK ST, COUNCIL BLUFFS, IA 51503-4460
(712) 256-9000
(712) 256-9707
Mailing address
180 WENDOVER DR, COUNCIL BLUFFS, IA 51503-5238
(402) 650-0900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001262
IA
101YM0800X
Mental Health Counselor
1221
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106580
IA
Enumeration date
09/24/2011
Last updated
04/23/2014
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