Individual provider · Type 1 NPI

Kimberly Lintner Cruise, LMHC, BCABA

Mental Health Counselor · Jacksonville, FL

NPI number 1013245893 Active

Practice location

2317 Blanding Blvd, Ste 102
Jacksonville, FL 32210

Call (904) 476-8956 Map

Fax (904) 387-8950

Mailing address

2317 Blanding Blvd Ste 102
Jacksonville, FL 32210-4167

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X0041234 (FL)
Mental Health Counselor Primary 101YM0800XMH 10245 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1013245893

Kimberly Lintner Cruise, LMHC, BCABA's National Provider Identifier is 1013245893, issued on Dec 7, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 7, 2018.