| Cross Creek Counseling Center, Llc | |
|
320 Ichord Ave Suite C Waynesville MO 65583-3600 | |
| (573) 774-5800 | |
| (314) 255-1856 |
| Full Name | Cross Creek Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 320 Ichord Ave, Waynesville, Missouri |
| Authorized Official Name and Position | James M White (OFFICE MANAGER) |
| Authorized Official Contact | 4172605228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Creek Counseling Center, Llc 320 Ichord Ave Suite C Waynesville MO 65583-3600 Ph: (573) 774-5800 | Cross Creek Counseling Center, Llc 320 Ichord Ave Suite C Waynesville MO 65583-3600 Ph: (573) 774-5800 |
| NPI Number | 1407298276 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407298276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2003002001 (Missouri) | Primary |
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