Individual
ALEXANDER B CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHCA, MHP, CDPT
Contact information
Practice address
414 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-6367
Mailing address
PO BOX 12, ISSAQUAH, WA 98027-0001
(425) 392-6367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60598723
WA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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