Jack Cruzan, LCSW CSAC

NPI 1861802464 · on the registry since 2014

Practice

Address: 81-6587 Mamalahoa Hwy
Suite C-203
Kealakekua, HI 96750
Phone: (808) 987-2451
Organisation at this address: Island Therapeutic Specialists Llc
Island Spirit Healing Center And Spa, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii