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NPI Code Detail

MEDICARE: ERIKA DE LA CRUZ MA, LCMHC, LPC, NCC

MEDICARE:   ERIKA  DE LA CRUZ  MA, LCMHC, LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor9540SC
2101YM0800XMental Health Counselor14747NC

General Provider Information

NPI Number : 1710449046
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA DE LA CRUZ MA, LCMHC, LPC, NCC
Provider Business Mailing Address
First Line : 885 GOLD HILL ROAD
Second Line : 3004
City : FORT MILL
State : SC
Zip : 29708-7214
Country : US
Telephone Number : 803-752-0106
Fax Number :
Provider Business Practice Location Address
First Line : 885 GOLD HILL ROAD
Second Line : 3004
City : FORT MILL
State : SC
Zip : 29708-7214
Country : US
Telephone Number : 803-752-0106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 08/01/2024

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Directions to “ ERIKA DE LA CRUZ MA, LCMHC, LPC, NCC” Practice Location

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