Individual
MR. BRUCE LAWRENCE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5555 BOONE AVE N, NEW HOPE, MN 55428-3636
(651) 774-0011
(651) 774-0606
Mailing address
3000 AMES CROSSING RD STE 600, EAGAN, MN 55121-2519
(651) 774-0011
(651) 774-0606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305-022-0000
—
MN
Enumeration date
11/01/2006
Last updated
11/28/2023
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