Individual
DAN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
2408 S REDWOOD AVE, BROKEN ARROW, OK 74012-9466
(918) 260-1096
Mailing address
2408 S REDWOOD AVE, BROKEN ARROW, OK 74012-9466
(918) 260-1096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
220
OK
Other
Enumeration date
02/16/2012
Last updated
06/16/2016
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