Provider Demographics
NPI:1487993598
Name:CRUZ, ROBINN JOACHIM (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:ROBINN
Middle Name:JOACHIM
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 112TH ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-3002
Mailing Address - Country:US
Mailing Address - Phone:360-620-4928
Mailing Address - Fax:
Practice Address - Street 1:610 112TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-3002
Practice Address - Country:US
Practice Address - Phone:360-620-4928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60277706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health