MEDICARE: MRS. MONICA CROSBY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.179246	OH

General Provider Information

NPI Number	:	1821759275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MONICA CROSBY

Provider Business Mailing Address
First Line	:	4995 SWETLAND BLVD
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1416
Country	:	US
Telephone Number	:	281-900-3777
Fax Number	:

Provider Business Practice Location Address
First Line	:	4995 SWETLAND BLVD
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	OH
Zip	:	44143-1416
Country	:	US
Telephone Number	:	281-900-3777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2022
Last Update Date	:	01/07/2022

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Directions to “ MRS. MONICA CROSBY ” Practice Location

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