Timothy Cruz Perez, LCSW, LCDC
Social Worker, Clinical in Round Rock, TX. Individual provider (NPI-1).
NPI number1124516554
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1124516554
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Cruz Perez
- Credential
- LCSW, LCDC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2018
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 65462 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14145 | TX |
Practice location
1009 N Georgetown StRound Rock, TX 78664-3289
Phone 512-255-1720
Mailing address
5400 N Lamar Blvd Apt 2051Austin, TX 78751-5425
Phone 254-231-5693
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