Individual
MR. CHEMAL YSIDRO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,LMHC, NCC, CCTP
Contact information
Practice address
10810 BOYETTE ROAD, #2563, RIVERVIEW, FL 33569-8000
(813) 803-5950
(833) 233-3084
Mailing address
10810 BOYETTE ROAD, #2563, RIVERVIEW, FL 33569-8000
(813) 803-5950
(833) 233-3084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19886
FL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/17/2018
Last updated
04/01/2022
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