Individual
JENNIFER LEE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
912 BARNETTE ST, FAIRBANKS, AK 99701-4510
(907) 456-4729
(907) 456-4623
Mailing address
1520 SCENIC LOOP, FAIRBANKS, AK 99709-6732
(907) 455-8218
(888) 306-3846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
424
AK
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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