Individual
MRS. ADDIE LYNN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
1400 SE 4TH ST STE A, MOORE, OK 73160-7328
(405) 837-1033
(405) 300-0646
Mailing address
2904 BROOKSTONE CT, MOORE, OK 73160-5017
(405) 535-3766
(405) 300-0646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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