Individual
PATRICE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4741 187TH ST, COUNTRY CLUB HILLS, IL 60478-5262
(708) 595-4006
Mailing address
4741 187TH ST, COUNTRY CLUB HILLS, IL 60478-5262
(708) 595-4006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.011729
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180011729
—
IL
Enumeration date
09/16/2019
Last updated
06/16/2022
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