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NPI Code Detail

MEDICARE: MS. JANA E CROSBY MS, LMFT

MEDICARE:  MS. JANA E CROSBY  MS, LMFT
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
1106H00000XMarriage & Family Therapist122477CA

General Provider Information

NPI Number : 1205277076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANA E CROSBY MS, LMFT
Provider Business Mailing Address
First Line : 3511 CAMINO DEL RIO S STE 500
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4022
Country : US
Telephone Number : 619-650-6834
Fax Number : 619-448-9711
Provider Business Practice Location Address
First Line : 3511 CAMINO DEL RIO S STE 500
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4022
Country : US
Telephone Number : 619-650-6834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 01/21/2021

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Directions to “ MS. JANA E CROSBY MS, LMFT” Practice Location

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