Individual
NICOLE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 10TH ST, UNION CITY, NJ 07087-5545
(201) 978-6795
Mailing address
708 10TH ST, UNION CITY, NJ 07087-5545
(201) 978-6795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00657800
NJ
101YP2500X
Professional Counselor
Primary
37PC00657800
NJ
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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