Provider Demographics
NPI:1053736264
Name:CROSBY, DORIANNE BROOKE (LPC, LPCC)
Entity type:Individual
Prefix:
First Name:DORIANNE
Middle Name:BROOKE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:LPC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27120
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92198-1120
Mailing Address - Country:US
Mailing Address - Phone:405-740-0808
Mailing Address - Fax:
Practice Address - Street 1:1019 WATERWOOD PKWY
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-5332
Practice Address - Country:US
Practice Address - Phone:405-740-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10978101YM0800X
OK5824101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health