Individual
MR. NILES ADRIAN CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
3915 BRISTOL HWY, JOHNSON CITY, TN 37601-1400
(423) 283-0222
Mailing address
815 E HOLSTON AVE, JOHNSON CITY, TN 37601-3405
(423) 773-5641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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