Provider Demographics
NPI:1376969261
Name:CROSS, CHRISTI (MA, MFT)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:CROSS
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 W BLYTHE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4071
Mailing Address - Country:US
Mailing Address - Phone:731-363-5075
Mailing Address - Fax:
Practice Address - Street 1:204 W BLYTHE ST STE 2
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4071
Practice Address - Country:US
Practice Address - Phone:731-363-5075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-15
Last Update Date:2014-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1102106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist