person
Mr. Jose De La Cruz
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1104205699

Jose De La Cruz is an Addiction (Substance Use Disorder) Counselor based in Indio, CA and is specialized in Addiction (Substance Use Disorder). Jose De La Cruz practices in Indio, CA. The NPI Number for Jose De La Cruz is 1104205699 and holds a License No. CADTP#1483 (California).

The current practice location address for Jose De La Cruz is 45550 Grace St, Indio, CA and can be reached out via phone at 760-342-1233 and via fax at 760-322-4554.

Location: 45550 Grace St, Indio, CA, 92201-4610
person
Provider Profile Details
NPI Number
1104205699
Provider Name
Jose De La Cruz
Credential
Provider Entity Type
Individual
Gender
Male
Address
45550 Grace St, Indio, CA, 92201-4610
Phone Number
760-342-1233
Fax Number
760-322-4554
Provider Enumeration Date
05/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
45550 Grace St
City
State
Zip
92201-4610
Phone Number
760-342-1233
Fax Number
760-322-4554
person
Provider Business Mailing Address Details
Address
45550 Grace St
City
State
Zip
92201-4610
Phone Number
760-342-1233
Fax Number
760-322-4554
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CADTP#1483 (California)
Definition
Definition to come...
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