Individual
ERIKA OWENS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADCII, MAC
Contact information
Practice address
500 LANIER AVE W, SUITE 606 A, FAYETTEVILLE, GA 30214-7636
(470) 262-8164
(404) 902-5920
Mailing address
PO BOX 2256, JONESBORO, GA 30237-2256
(678) 408-0616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
486
GA
101YM0800X
Mental Health Counselor
Primary
LPC008276
GA
Other
Enumeration date
05/18/2015
Last updated
09/13/2017
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