Individual
JON DAVID CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LSCSW
Contact information
Practice address
3923 S LYNN CT, INDEPENDENCE, MO 64055-3337
(816) 836-2220
(816) 836-3567
Mailing address
18481 NORTHWIND DR, LAWRENCE, KS 66044-8348
(816) 651-6600
(816) 836-2220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004016349
MO
1041C0700X
Clinical Social Worker
2473
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35903013
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/26/2006
Last updated
07/08/2007
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