Individual
IRVIN SHALOM CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DUNWOODY PARK, DUNWOODY, GA 30338-7404
(770) 804-8444
Mailing address
1 DUNWOODY PARK, DUNWOODY, GA 30338-7404
(770) 804-8444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RBT-25-456226
GA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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