Provider Demographics
NPI:1942743067
Name:CRUZEN, KATHERINE (MS, MA, CADC I, LPCI)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:CRUZEN
Suffix:
Gender:F
Credentials:MS, MA, CADC I, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64385 OLD BEND REDMOND HWY
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-8934
Mailing Address - Country:US
Mailing Address - Phone:858-245-5283
Mailing Address - Fax:
Practice Address - Street 1:37 NW IRVING AVE
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2011
Practice Address - Country:US
Practice Address - Phone:541-633-4591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health