Anna Carmela Cruz is a Peer Specialist based in Fargo, ND. Anna Carmela Cruz practices in Fargo, ND. The NPI Number for Anna Carmela Cruz is 1609454701 and holds a License No. (North Dakota).
The current practice location address for Anna Carmela Cruz is 111 9Th St S, Fargo, ND and can be reached out via phone at 701-212-8626.
Location: 111 9Th St S, Fargo, ND, 58103-1830
Provider Profile Details
NPI Number
1609454701
Provider Name
Anna Carmela Cruz
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 9Th St S, Fargo, ND, 58103-1830
Phone Number
701-212-8626
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | 05 | ND | |
| 251B00000X | 05 | ND | |
| 347C00000X | 05 | ND |
Provider Business Practice Location Address Details
Address
111 9Th St S
City
State
Zip
58103-1831
Phone Number
701-212-8626
Fax Number
Provider Business Mailing Address Details
Address
111 9Th St S
City
State
Zip
58103-1831
Phone Number
701-212-8626
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(North Dakota)
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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