Individual
MR. TONY SALAS CRUZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
790 GOV CARLOS G CAMACHO RD, TAMUNING, GU 96913-3129
(671) 647-5732
Mailing address
790 GOVERNOR CARLOS CAMACHO RD.,, TAMUNING, GU 96913
(671) 647-5440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-115
GU
Other
Enumeration date
06/27/2013
Last updated
09/17/2015
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