NPI | 1346891975 |
---|---|
Professional Name | RAUL ANTHONY DELACRUZ-LANE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0151) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0255) |
103T00000X Psychologist | |
Enumeration Date | 2019-09-25 |
Last Update Date | 2025-03-28 |