Provider Demographics
NPI:1013019785
Name:CROSBY, JEANNE MARIE (MS,NCC,LMHC)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:MARIE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:MS,NCC,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:111 SMITHTOWN BYP
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2524
Mailing Address - Country:US
Mailing Address - Phone:631-389-1908
Mailing Address - Fax:631-389-1827
Practice Address - Street 1:111 SMITHTOWN BYP
Practice Address - Street 2:SUITE 108
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2524
Practice Address - Country:US
Practice Address - Phone:631-389-1908
Practice Address - Fax:631-389-1827
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health