Provider Demographics
NPI:1588239081
Name:CROSSETT, JUSTINE V (LMHC, CPP, COSPF)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:V
Last Name:CROSSETT
Suffix:
Gender:F
Credentials:LMHC, CPP, COSPF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:80025 GENERAL PATTON STREET
Mailing Address - Street 2:B
Mailing Address - City:FORT DRUM
Mailing Address - State:NY
Mailing Address - Zip Code:13603
Mailing Address - Country:US
Mailing Address - Phone:315-360-4252
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4399
Practice Address - Country:US
Practice Address - Phone:315-360-4252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health