Provider Demographics
NPI:1831747278
Name:CROSS, BRITTANY B (LPC, CSAC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:B
Last Name:CROSS
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-1248
Mailing Address - Country:US
Mailing Address - Phone:262-903-1980
Mailing Address - Fax:
Practice Address - Street 1:8383 GREENWAY BLVD STE 600
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-4659
Practice Address - Country:US
Practice Address - Phone:608-821-6356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17020-132101YA0400X
WI10235-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)