Individual
MATTHEW BRANDON CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC, LADC
Contact information
Practice address
9600 UPLAND LN N STE 110, MAPLE GROVE, MN 55369-4499
(952) 993-6200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305677
MN
101YM0800X
Mental Health Counselor
Primary
3083
MN
Other
Enumeration date
10/26/2021
Last updated
11/04/2021
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