Provider Demographics
NPI:1811234974
Name:CROSBY, CHERYL LONERO (LPC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LONERO
Last Name:CROSBY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E 7TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-5767
Mailing Address - Country:US
Mailing Address - Phone:512-809-3141
Mailing Address - Fax:512-868-3567
Practice Address - Street 1:110 E 7TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-5767
Practice Address - Country:US
Practice Address - Phone:512-809-3141
Practice Address - Fax:512-868-3567
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional