Provider Demographics
NPI:1770885311
Name:ROSAS-CRUZ, LILIANA (MSW)
Entity type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:
Last Name:ROSAS-CRUZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 MITCHELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-2134
Mailing Address - Country:US
Mailing Address - Phone:510-504-2133
Mailing Address - Fax:
Practice Address - Street 1:21455 BIRCH ST
Practice Address - Street 2:201
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2165
Practice Address - Country:US
Practice Address - Phone:510-504-2133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health