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Krisilee Kay Cruz, ISAS
Addiction (Substance Use Disorder) Counselor in Idaho Falls, Idaho
NPI 1790166122

Krisilee Kay Cruz is an Addiction (Substance Use Disorder) Counselor based in Idaho Falls, ID and is specialized in Addiction (Substance Use Disorder). Krisilee Kay Cruz practices in Idaho Falls, ID and has the professional credentials of ISAS. The NPI Number for Krisilee Kay Cruz is 1790166122 and holds a License No. 10228 (Idaho).

The current practice location address for Krisilee Kay Cruz is 2275 W Broadway St Ste G, Idaho Falls, ID and can be reached out via phone at 208-524-7400 and via fax at 208-524-8004.

Location: 2275 W Broadway St Ste G, Idaho Falls, ID, 83402-2902
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Provider Profile Details
NPI Number
1790166122
Provider Name
Krisilee Kay Cruz
Credential
ISAS
Provider Entity Type
Individual
Gender
Female
Address
2275 W Broadway St Ste G, Idaho Falls, ID, 83402-2902
Phone Number
208-524-7400
Fax Number
208-524-8004
Provider Enumeration Date
06/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001256907 05 ID
institution
Provider Business Practice Location Address Details
Address
2275 W Broadway St Ste G
City
State
Zip
83402-2902
Phone Number
208-524-7400
Fax Number
208-524-8004
person
Provider Business Mailing Address Details
Address
2275 W Broadway St Ste G
City
State
Zip
83402-2902
Phone Number
208-524-7400
Fax Number
208-524-8004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10228 (Idaho)
Definition
Definition to come...
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