Organization
CROSSMONT & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDNA R CROSS PHD (PRESIDENT)
(708) 229-0700
Entity
Organization
Contact information
Practice address
10522 S CICERO AVE, SUITE 302, OAK LAWN, IL 60453-5200
(708) 229-0700
(708) 229-0173
Mailing address
10522 S CICERO AVE, SUITE 302, OAK LAWN, IL 60453-5200
(708) 229-0700
(708) 229-0173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-1545-0001-A
IL
101YM0800X
Mental Health Counselor
A-1545-0001-A
IL
101YP2500X
Professional Counselor
A-1545-0001-A
IL
Other
Enumeration date
01/10/2007
Last updated
06/02/2016
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