Individual
ALYSSIA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2245 CHALLENGER WAY, SANTA ROSA, CA 95407-5418
(707) 565-4431
Mailing address
4231 BALBOA AVE # 3010, SAN DIEGO, CA 92117-5504
(619) 630-9312
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
83876
CA
1041C0700X
Clinical Social Worker
83876
CA
1041C0700X
Clinical Social Worker
Primary
97269
CA
Other
Enumeration date
04/07/2017
Last updated
08/31/2021
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