Individual provider · Type 1 NPI
Sandra Susan Cross, LCSW
Professional Counselor · Peoria, IL
NPI number
1013613892
Active
Practice location
809 W Detweiller Dr Ste 810
Peoria, IL 61615-2140
Mailing address
2522 W Stronehenge Ct
Peoria, IL 61615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 149019468 (IL) |
| Professional Counselor Primary | 101YP2500X | 149019468 (IL) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1013613892
Sandra Susan Cross, LCSW's National Provider Identifier is 1013613892, issued on Feb 3, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Jan 16, 2025.