Provider Demographics
NPI:1851005193
Name:CRUZ, YOHANNA NOHEMI
Entity type:Individual
Prefix:
First Name:YOHANNA
Middle Name:NOHEMI
Last Name:CRUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2367
Mailing Address - Street 2:225 S. IVY AVE
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91017-6367
Mailing Address - Country:US
Mailing Address - Phone:626-509-8237
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 2367
Practice Address - Street 2:225 S. IVY AVE
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91017-6367
Practice Address - Country:US
Practice Address - Phone:626-509-8237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT136526101YM0800X
CA136526106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health