Crosby, Jacob D

Crosby, Jacob D is an individual health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Crosby, Jacob D can be contacted via phone (440) 233-7232.

Contact Information

Primary practice address
6140 S Broadway Lorain OH 44053-3821
Fax: (440) 233-9070
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162822 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2304680-SUPV Ohio

Profile Details

NPI number 1508306382
LBN Legal business name Crosby, Jacob D
Credentials LISW, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2017
Last updated May 28th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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