Individual
KEVIN CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011039641
MO
Other
Enumeration date
05/22/2012
Last updated
01/25/2021
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