Jack Cruzan, LCSW CSAC

NPI #1861802464 in Kealakekua, Hawaii

Provider Information

NPI Number: 1861802464
Entity Type: Individual
Name: Jack Cruzan, LCSW CSAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW CSAC
Enumeration Date: May 5, 2014
Last Updated: May 5, 2014

Practice Location

Address: 81-6587 MAMALAHOA HWY
Address 2: SUITE C-203
City: Kealakekua
State: Hawaii
ZIP Code: 96750
Phone: (808) 987-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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