Gavin Lee Cross
Gavin Lee Cross is a Student in an Organized Health Care Education/Training Program in Pasadena, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
100 W Walnut St # 375Pasadena, CA 91124-0001
Phone: (626) 395-7100
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1225694268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2019 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 100 W Walnut St, Pasadena, CA 91124-0001 |
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