Provider Demographics
NPI:1013220318
Name:CRUZEN PLLC, JULIA (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:CRUZEN PLLC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8390 W GAGE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8105
Mailing Address - Country:US
Mailing Address - Phone:509-987-1712
Mailing Address - Fax:509-987-1715
Practice Address - Street 1:8390 W GAGE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8105
Practice Address - Country:US
Practice Address - Phone:509-987-1712
Practice Address - Fax:509-987-1715
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60151067101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health