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Raven Cruz-humberto
Counselor in Russellville, Arkansas
NPI 1003445214

Raven Cruz-humberto is a Counselor based in Russellville, AR. Raven Cruz-humberto practices in Russellville, AR. The NPI Number for Raven Cruz-humberto is 1003445214 and holds a License No. (Arkansas).

The current practice location address for Raven Cruz-humberto is 700 E Parkway Dr, Russellville, AR and can be reached out via phone at 866-921-0149 and via fax at 479-777-4400. You can also correspond with Raven Cruz-humberto through the mailing address at 700 E PARKWAY DR, RUSSELLVILLE, AR - 72801-4202 (mailing address contact number: 866-921-0149).

Location: 700 E Parkway Dr, Russellville, AR, 72801-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003445214
Provider Name
Raven Cruz-humberto
Credential
Provider Entity Type
Individual
Gender
Female
Address
700 E Parkway Dr, Russellville, AR, 72801-4202
Phone Number
866-921-0149
Fax Number
479-777-4400
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
700 E Parkway Dr
City
Russellville
State
Arkansas
Zip
72801-4202
Phone Number
866-921-0149
Fax Number
479-777-4400
person
Provider Business Mailing Address Details
Address
700 E Parkway Dr
City
Russellville
State
Arkansas
Zip
72801-4202
Phone Number
866-921-0149
Fax Number
479-777-4400
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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