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John J Cruz
Peer Specialist in Republic, Washington
NPI 1104332170

John J Cruz is a Peer Specialist based in Colville, WA. John J Cruz practices in Republic, WA. The NPI Number for John J Cruz is 1104332170 and holds a License No. CG60806753 (Washington).

The current practice location address for John J Cruz is 65 N Keller, Republic, WA and can be reached out via phone at 509-775-3364 and via fax at 509-775-8906.

Location: 65 N Keller, Republic, WA, 99114-2629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104332170
Provider Name
John J Cruz
Credential
Provider Entity Type
Individual
Gender
Male
Address
65 N Keller, Republic, WA, 99114-2629
Phone Number
509-775-3364
Fax Number
509-775-8906
Provider Enumeration Date
12/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 N Keller
City
Republic
State
Washington
Zip
99166-8804
Phone Number
509-775-3364
Fax Number
509-775-8906
person
Provider Business Mailing Address Details
Address
65 N Keller
City
Republic
State
Washington
Zip
99166-8804
Phone Number
509-775-3364
Fax Number
509-775-8906
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60806753 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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