Individual provider · Type 1 NPI

Maximo De la Cruz, QMHP-A-MA

Mental Health Counselor · Manassas, VA

NPI number 1043875248 Active

Practice location

7530 Diplomat Dr Ste 101
Manassas, VA 20109-2682

Call (571) 572-0050 Map

Fax (888) 315-4281

Mailing address

31 Ontell Ct
Stafford, VA 22554-1566

Other practice locations

  • 31 Ontell Ct, Stafford, VA 22554-1566 · (571) 572-0050
  • 1930 Opitz Blvd, Woodbridge, VA 22191-3304 · (571) 572-0050

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855X3329-05-001 (VA)
Adolescent and Children Mental Health Clinic/Center 261QM0855X3329 (VA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1043875248

Maximo De la Cruz, QMHP-A-MA's National Provider Identifier is 1043875248, issued on May 3, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manassas, VA. The record was last updated on Jan 20, 2026.