Individual
JEARL JERRI CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S,LPC/MHSP, CPSII
Contact information
Practice address
441 E BROAD ST, SUITE B, COOKEVILLE, TN 38501-3389
(931) 214-0527
(931) 520-0767
Mailing address
441 E BROAD ST, SUITE B, COOKEVILLE, TN 38501-3389
(931) 214-0527
(931) 520-0767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000003149
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q0134971
—
TN
Enumeration date
07/17/2014
Last updated
07/13/2015
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