Individual
ANNA JULIET CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11643 GLENOAKS BLVD, PACOIMA, CA 91331-1050
(818) 897-2606
(818) 890-7159
Mailing address
4760 S. SEPULVEDA BLVD., CULVER CITY, CA 90230
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
COUNSELOR, ADDICTIONS
—
Enumeration date
05/02/2018
Last updated
05/02/2018
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