Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Anthony Cruz

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902474729

Jason Anthony Cruz is an Addiction (Substance Use Disorder) Counselor in San Fernando, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

762 Griswold Ave
San Fernando, CA 91340-2105
Phone: (747) 500-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2521 Long Beach Ave, Los Angeles, CA 90058-1324 — (213) 529-9063

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 4727 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 4727 (CA)

Record details

NPI number1902474729
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2021
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

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