Individual provider · Type 1 NPI

Yancy Cruz

Professional Counselor · Carbondale, IL

NPI number 1295147445 Active

Practice location

310 S Plover Dr
Carbondale, IL 62901-2030

Call (787) 372-4808 Map

Mailing address

PO Box 3411
Carbondale, IL 62902-3411

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.016962 (IL)

Professional Counselor: Definition to come...

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About NPI 1295147445

Yancy Cruz's National Provider Identifier is 1295147445, issued on May 22, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Carbondale, IL. The record was last updated on Dec 11, 2025.