BREANNA RAQUELLE CRUZ
NPI 1689246746
Counselor - Addiction (Substance Use Disorder) in Clearlake Oaks, CA

Active since July 16, 2021
14715 HWY 20, CLEARLAKE OAKS, CA 95423(707) 998-1800(707) 998-0122 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2021, Jul 16, 2021 (2 updates tracked since 2021).

About Breanna Raquelle Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA RAQUELLE CRUZ (NPI 1689246746) is an individual addiction (substance use disorder) provider in Clearlake Oaks, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1689246746
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBREANNA RAQUELLE CRUZ
Location Address14715 HWY 20Clearlake Oaks, CA 95423
Mailing AddressPo Box 366Clearlake Oaks, CA 95423-0366 · (707) 349-8897
Fax(707) 998-0122
Sole ProprietorNo
Enumeration DateJuly 16, 2021
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1689246746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
14715 HWY 20, Clearlake Oaks, CA 95423

Other Names 1

Former Name (1)Breanna Raquelle Ahart

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Cruz's NPI number?

The NPI number for Breanna Cruz is 1689246746. It was assigned to this individual provider in the NPPES registry on July 16, 2021. The provider is also known as Breanna Raquelle Ahart.

Where is Breanna Cruz located?

Breanna Cruz practices at 14715 Hwy 20, Clearlake Oaks, CA 95423. The listed phone number is (707) 998-1800.

What is Breanna Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Breanna Cruz was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.