Raven Cruz-Humberto

NPI #1003445214 in Russellville, Arkansas

Provider Information

NPI Number: 1003445214
Entity Type: Individual
Name: Raven Cruz-Humberto
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 8, 2020
Last Updated: Oct 14, 2025

Practice Location

Address: 104 LOCK AND DAM RD
City: Russellville
State: Arkansas
ZIP Code: 72802-9725
Phone: (479) 747-5222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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