Individual
GRACIELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
106 SOUTHPARK DR STE C, BLACKSBURG, VA 24060-6809
(571) 934-3936
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704015514
VA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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