Provider Demographics
NPI:1245991660
Name:CROSBY, KEITH (LPC)
Entity type:Individual
Prefix:MR
First Name:KEITH
Middle Name:
Last Name:CROSBY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HAHN STREET
Mailing Address - Street 2:APT B
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4033
Mailing Address - Country:US
Mailing Address - Phone:908-271-8437
Mailing Address - Fax:
Practice Address - Street 1:9 HAHN STREET
Practice Address - Street 2:APT B
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882
Practice Address - Country:US
Practice Address - Phone:908-271-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00990700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional