Kross, Brenda
Kross, Brenda is an individual health care provider with primary practice located at 302 W Main St , Fairborn OH 45324-5037. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kross, Brenda can be contacted via phone (937) 281-4673.Contact Information
Primary practice address
302 W Main St
Fairborn OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCDC 081183-3 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CS.00000015 | Ohio |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | S.0701012 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.081183 | Ohio |
Profile Details
| NPI number | 1235479494 |
|---|---|
| LBN Legal business name | Kross, Brenda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2013 |
| Last updated | Jun 7th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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