Individual
WASCAR CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8430 W LAKE MEAD BLVD STE 139, LAS VEGAS, NV 89128-7672
(702) 489-5050
(702) 485-5207
Mailing address
9525 KICKAPOO AVE, LAS VEGAS, NV 89149-2398
(702) 352-8888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/23/2013
Last updated
05/10/2022
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