Individual
JACOB D CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LICDC
Contact information
Practice address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 233-9070
Mailing address
6140 S BROADWAY, LORAIN, OH 44053-3821
(440) 233-7232
(440) 246-4930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162822
OH
1041C0700X
Clinical Social Worker
Primary
I.2304680-SUPV
OH
Other
Enumeration date
02/28/2017
Last updated
05/28/2025
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