Individual
IVELISSE COLON CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCDC
Contact information
Practice address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 342-4530
Mailing address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 342-4530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16542
TX
1041C0700X
Clinical Social Worker
Primary
66489
TX
Other
Enumeration date
11/09/2017
Last updated
07/14/2025
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