Individual
DR. RAUL ANTHONY DELACRUZ-LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-6938
Mailing address
122 BEECH FORGE DR, ANTIOCH, TN 37013-2326
(615) 693-1950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2024-0151
NM
101YM0800X
Mental Health Counselor
CTB-2024-0255
NM
103T00000X
Psychologist
—
—
Other
Enumeration date
09/25/2019
Last updated
03/28/2025
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