MR. JOSE DE LA CRUZ

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1104205699

Practice Address

45550 GRACE ST
Indio, CA 92201

Phone: (760) 342-1233

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes CADTP#1483 (CA)

Frequently Asked Questions

NPI 1104205699 is the National Provider Identifier for MR. JOSE DE LA CRUZ, a Counselor - Addiction (Substance Use Disorder) provider located in Indio, CA. This NPI was enumerated on May 29, 2015.
MR. JOSE DE LA CRUZ practices at 45550 GRACE ST, Indio, CA 92201.

Quick Facts

NPI
1104205699
Type
Individual
Enumerated
May 29, 2015
Last Updated
May 29, 2015

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