Provider Demographics
NPI:1942478821
Name:CRUZ-RODRIGUEZ, LORENA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:
Last Name:CRUZ-RODRIGUEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:LORENA
Other - Middle Name:
Other - Last Name:CRUZ GRAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:576 HARTNELL ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2887
Mailing Address - Country:US
Mailing Address - Phone:831-642-6201
Mailing Address - Fax:831-625-4610
Practice Address - Street 1:576 HARTNELL ST STE 300
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2887
Practice Address - Country:US
Practice Address - Phone:831-642-6201
Practice Address - Fax:831-625-4610
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52719106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist