Doctor Name: | JARED CRUZ |
NPI Number: | 1336595214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3213 D 3/4 Rd 4 Clifton, CO - 815208862 |
Business Phone Number: | 9705899216 |
Business Fax Number: | |
Mailing Address: | 3213 D 3/4 Road, 4 CLIFTON |
State: | CO |
Postal Code: | 81520 |
Phone Number: | 9705899216 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |