Provider Demographics
NPI:1013803378
Name:CRUZ, JESSICA I
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:I
Last Name:CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:I
Other - Last Name:CRUZ-TORRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3711 MEDICAL DR APT 2527
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2328
Mailing Address - Country:US
Mailing Address - Phone:732-207-4918
Mailing Address - Fax:
Practice Address - Street 1:3711 MEDICAL DR APT 2527
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2328
Practice Address - Country:US
Practice Address - Phone:732-207-4918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health