Individual
KATELYN CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2735 W TUBAC DR, MERIDIAN, ID 83646-2601
(208) 461-3799
Mailing address
2735 W TUBAC DR, MERIDIAN, ID 83646-2601
(208) 461-3799
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/26/2023
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