Individual
VANESSA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WEXFORD CIR NW, CARTERSVILLE, GA 30121-4761
(773) 575-2702
Mailing address
21 WEXFORD CIR NW, CARTERSVILLE, GA 30121-4761
(773) 575-2702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.011390
IL
Other
Enumeration date
12/07/2015
Last updated
06/07/2021
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