Individual
KYLE BUDDY CRUZE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMFT
Contact information
Practice address
9005 OVERLOOK BLVD, SUITE 138, BRENTWOOD, TN 37027-5269
(865) 228-1897
Mailing address
609 DURRETT DR, NASHVILLE, TN 37211-5201
(865) 228-1897
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1215
TN
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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