| Julia Cruzen Pllc | |
|
8390 W Gage Blvd Ste 210 Kennewick WA 99336-8105 | |
| (509) 987-1712 | |
| (509) 987-1715 |
| Full Name | Julia Cruzen Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8390 W Gage Blvd Ste 210, Kennewick, Washington |
| Authorized Official Name and Position | Julia Cruzen (LMHC) |
| Authorized Official Contact | 5099871712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Cruzen Pllc 8390 W Gage Blvd Ste 210 Kennewick WA 99336-8105 Ph: (509) 987-1712 | Julia Cruzen Pllc 8390 W Gage Blvd Ste 210 Kennewick WA 99336-8105 Ph: (509) 987-1712 |
| NPI Number | 1215792783 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 1153761374 |
|---|---|
| Medicare Enrollment ID | O20240503002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215792783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Julia Deanne Cruzen Pllc |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013220318 PECOS PAC ID: 3971943192 Enrollment ID: I20240507003687 |
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