Individual
STEPHANIE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 ABANY ST SUITE 3, CALDWELL, ID 83605
(208) 603-4656
(208) 228-8688
Mailing address
10592 HOT SPRINGS AVE, NAMPA, ID 83687-5770
(208) 989-2560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-7017
ID
101YP2500X
Professional Counselor
Primary
LCPC-7017
ID
Other
Enumeration date
02/29/2016
Last updated
03/04/2024
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