Provider Demographics
NPI:1205988466
Name:CRUZ-BILLER, NANCY MARIBEL (MFT, MA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:MARIBEL
Last Name:CRUZ-BILLER
Suffix:
Gender:F
Credentials:MFT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1745
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91793
Mailing Address - Country:US
Mailing Address - Phone:626-331-8177
Mailing Address - Fax:626-331-8177
Practice Address - Street 1:1274 CENTER COURT DR
Practice Address - Street 2:#112
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-3668
Practice Address - Country:US
Practice Address - Phone:626-331-8177
Practice Address - Fax:626-331-8177
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40178106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMF4017800OtherMEDI-CAL