Provider Demographics
NPI:1013357912
Name:CROSSLEY, ROXANNE NICOLE (LPC)
Entity type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:NICOLE
Last Name:CROSSLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ROXANNE
Other - Middle Name:NICOLE
Other - Last Name:GEOGHEGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:P.O. BOX 5893
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304
Mailing Address - Country:US
Mailing Address - Phone:503-949-4031
Mailing Address - Fax:
Practice Address - Street 1:1124 CORNUCOPIA ST. NW STE 100
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304
Practice Address - Country:US
Practice Address - Phone:503-949-4031
Practice Address - Fax:503-838-8801
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health