Individual
DORRIE J CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
8 E COTTONWOOD ST, COTTONWOOD, AZ 86326-4382
(928) 634-2236
(928) 634-8960
Mailing address
2393 W ZEPHER AVE, FLAGSTAFF, AZ 86001-2536
(928) 634-2236
(928) 634-8960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10137
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
877912
—
AZ
Enumeration date
10/20/2006
Last updated
07/08/2007
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