Provider Demographics
NPI:1013048339
Name:CRUZ, FELIX (LMFT)
Entity Type:Individual
Prefix:MR
First Name:FELIX
Middle Name:
Last Name:CRUZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 HIGH ST
Mailing Address - Street 2:HENRIETTA WEILL CHILD GUIDANCE CLINIC
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-1713
Mailing Address - Country:US
Mailing Address - Phone:661-725-1042
Mailing Address - Fax:661-725-1845
Practice Address - Street 1:1318 HIGH ST
Practice Address - Street 2:HENRIETTA WEILL CHILD GUIDANCE CLINIC
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-1713
Practice Address - Country:US
Practice Address - Phone:661-725-1042
Practice Address - Fax:661-725-1845
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC: 49778106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist