Doctor Name: | MRS. RHIANNON M CROSS |
NPI Number: | 1205906278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 6801085140 |
Business Practice Address: | 1485 S M-139 Benton Harbor, MI - 49022 |
Business Phone Number: | 2699250585 |
Business Fax Number: | 2699271326 |
Mailing Address: | 1485 S M-139, BENTON HARBOR |
State: | MI |
Postal Code: | 49022 |
Phone Number: | 2699250585 |
Fax Number: | 2699271326 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 11/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801085140 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |