Individual provider · Type 1 NPI
Simon Terry Cross, LCDCI
Addiction (Substance Use Disorder) Counselor · Midland, TX
NPI number
1194552612
Active
Practice location
200 Corporate Dr
Midland, TX 79705-4621
Fax (432) 620-8220
Mailing address
501 Staghorn Dr
Odessa, TX 79765-2595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 61202 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1194552612
Simon Terry Cross, LCDCI's National Provider Identifier is 1194552612, issued on Sep 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Midland, TX. The record was last updated on Sep 18, 2024.