Provider Demographics
NPI:1255777272
Name:MARTINEZ-CRUZ, LUISA F (LMFT, LADC)
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:F
Last Name:MARTINEZ-CRUZ
Suffix:
Gender:F
Credentials:LMFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7271 W CHARLESTON BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1684
Mailing Address - Country:US
Mailing Address - Phone:702-747-9499
Mailing Address - Fax:702-912-0298
Practice Address - Street 1:7271 W CHARLESTON BLVD STE 180
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1684
Practice Address - Country:US
Practice Address - Phone:702-747-9499
Practice Address - Fax:702-912-0298
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01249101YA0400X
NVMI#0532106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)