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MR. CORNEL CROSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 568-6650
Mailing address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 568-6650

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC1185
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAC1185
ADDICTIVE DISORDER REGULATORY AUTHORITY
LA
Enumeration date
08/12/2008
Last updated
08/12/2008
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