Provider Demographics
NPI:1861610792
Name:CROSS, CHRISA JULIETTE (MS, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:CHRISA
Middle Name:JULIETTE
Last Name:CROSS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:15851 DALLAS PKWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3369
Mailing Address - Country:US
Mailing Address - Phone:214-561-8707
Mailing Address - Fax:972-398-1403
Practice Address - Street 1:15851 DALLAS PKWY
Practice Address - Street 2:SUITE 600
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3369
Practice Address - Country:US
Practice Address - Phone:214-561-8707
Practice Address - Fax:972-398-1403
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX12484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional