Individual provider · Type 1 NPI

Edgar Ivan Cruz

Addiction (Substance Use Disorder) Counselor · Redwood City, CA

NPI number 1205442175 Active

Practice location

500 Allerton St
Redwood City, CA 94063-1519

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205442175

Edgar Ivan Cruz's National Provider Identifier is 1205442175, issued on Sep 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redwood City, CA. The record was last updated on Sep 16, 2020.