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Individual

MATTHEW CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-A

Contact information

Practice address
2400 LAKESIDE BLVD STE 620, RICHARDSON, TX 75082-4341
(972) 658-9499
Mailing address
5541 MILLER AVE, DALLAS, TX 75206-6426

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94720
TX

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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