Individual
AUDREY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
Mailing address
4968 E NEVADA AVE, FRESNO, CA 93727-3051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1YA0400X
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6870
CA
Other
Enumeration date
12/15/2014
Last updated
03/10/2023
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