Most Relevant Information
Provider Data
| NPI Number: | 1003242967 |
| Provider Name: | ANNA CRUZ CAC III |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | ACC.0006911 |
Most Important Dates
| Enumeration Date: | 09/23/2013 |
| Last Updated: | 09/23/2013 |
Provider Practice Location
1140 M ST
GREELEY
CO
806319586
Practice Location Phone/Fax
| Phone: | 9703533900 |
| Fax: |
Provider Mailing Location
1300 N 17TH AVE
GREELEY
CO
806319584
Provider Mailing Phone/Fax
| Phone: | 9703472120 |
| Fax: | 9703003133 |