Individual provider · Type 1 NPI

Raven Cruz-Humberto

Counselor · Russellville, AR

NPI number 1003445214 Active

Practice location

104 Lock And Dam Rd
Russellville, AR 72802-9725

Call (479) 747-5222 Map

Mailing address

1305 E Main St
Russellville, AR 72801-5322

Other practice locations

  • 1305 E Main St, Russellville, AR 72801-5322 · (479) 222-1965

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

15 other providers at this address

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About NPI 1003445214

Raven Cruz-Humberto's National Provider Identifier is 1003445214, issued on Apr 8, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Russellville, AR. The record was last updated on Jul 15, 2026.