Individual provider · Type 1 NPI
Heydi De la Cruz, CASAC-T
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1265742316
Active
Practice location
160 West 86th Street, Metropolitan Center For Mental Health
New York, NY 10024
Fax (212) 543-0777
Mailing address
1024 Walton Avenue, Apt. 5C
Bronx, NY 10452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265742316
Heydi De la Cruz, CASAC-T's National Provider Identifier is 1265742316, issued on Oct 7, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Mar 20, 2012.