Individual
YADIRA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
2235 POYDRAS ST, NEW ORLEANS, LA 70119-7561
(504) 524-7205
Mailing address
2235 POYDRAS ST, NEW ORLEANS, LA 70119-7561
(504) 524-7205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
953991288
—
LA
Enumeration date
07/20/2018
Last updated
07/20/2018
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