Provider Demographics
NPI:1487028569
Name:CROOKS, ASHLEY PALMA (LAC, MS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:PALMA
Last Name:CROOKS
Suffix:
Gender:F
Credentials:LAC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N MAIN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2163
Mailing Address - Country:US
Mailing Address - Phone:609-465-4448
Mailing Address - Fax:609-465-4438
Practice Address - Street 1:211 N MAIN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2163
Practice Address - Country:US
Practice Address - Phone:609-465-4448
Practice Address - Fax:609-465-4438
Is Sole Proprietor?:No
Enumeration Date:2015-11-30
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00287900101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health