Individual
CYNTHIA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W BELMONT AVE STE 501B, CHICAGO, IL 60657-3242
(773) 234-7192
Mailing address
4740 N CLARK ST, CHICAGO, IL 60640-4689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.008091
IL
101YM0800X
Mental Health Counselor
Primary
180.010363
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362167752
—
IL
Enumeration date
02/13/2014
Last updated
11/21/2022
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