NPI 1003445214
Raven Cruz-Humberto
Practice location
- Address
- 104 Lock and Dam Rd, Russellville, AR 72802-9725
- Phone
- (479) 747-5222
- Mailing address
- 1305 E Main St, Russellville, AR 72801-5322
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003445214
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Apr 2020
- Record last updated
- 15 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.