Provider Demographics
NPI:1033355128
Name:CRUZ, VERA A
Entity Type:Individual
Prefix:MS
First Name:VERA
Middle Name:A
Last Name:CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:468 W MEADOW DR
Mailing Address - Street 2:APT. C
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6342
Mailing Address - Country:US
Mailing Address - Phone:559-202-8902
Mailing Address - Fax:
Practice Address - Street 1:4944 E CLINTON WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1527
Practice Address - Country:US
Practice Address - Phone:559-455-5988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)