Cruzan, Jack

Cruzan, Jack is an individual health care provider with primary practice located at 81-6587 Mamalahoa Hwy Suite C-203, Kealakekua HI 96750. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cruzan, Jack can be contacted via phone (808) 987-2451.

Contact Information

Primary practice address
81-6587 Mamalahoa Hwy Suite C-203 Kealakekua HI 96750
Phone: (808) 987-2451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1663-12 Hawaii
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3904 Hawaii

Profile Details

NPI number 1861802464
LBN Legal business name Cruzan, Jack
Credentials LCSW CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2014
Last updated May 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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