Individual
GUSTAVO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
341 HOLLYWOOD DR, EDINBURG, TX 78539-6117
(956) 802-1170
(956) 318-0137
Mailing address
2014 LAKE FRONT DR, MISSION, TX 78572-7732
(956) 279-1504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
15042
TX
171M00000X
Case Manager/Care Coordinator
Primary
15042
TX
251B00000X
Case Management Agency
15042
TX
Other
Enumeration date
10/07/2009
Last updated
02/05/2024
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