Individual
LISA D. CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
7270 FORESTVIEW LN N, SUITE 150, MAPLE GROVE, MN 55369-5546
(763) 416-4167
(763) 416-4137
Mailing address
7270 FORESTVIEW LN N, SUITE 150, MAPLE GROVE, MN 55369-5546
(763) 416-4167
(763) 416-4137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1359
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397152000
—
MN
Enumeration date
07/15/2006
Last updated
07/29/2009
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