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Jose Delacruz, CADC-II
Addiction (Substance Use Disorder) Counselor in Conyers, Georgia
NPI 1750706313

Jose Delacruz is an Addiction (Substance Use Disorder) Counselor based in Riverdale, GA and is specialized in Addiction (Substance Use Disorder). Jose Delacruz practices in Conyers, GA and has the professional credentials of CADC-II. The NPI Number for Jose Delacruz is 1750706313 and holds a License No. 478 (Georgia).

The current practice location address for Jose Delacruz is 1990 Old Parker Rd Se, Conyers, GA and can be reached out via phone at 678-913-3255 and via fax at 404-975-4376.

Location: 1990 Old Parker Rd Se, Conyers, GA, 30274-1345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750706313
Provider Name
Jose Delacruz
Credential
CADC-II
Provider Entity Type
Individual
Gender
Male
Address
1990 Old Parker Rd Se, Conyers, GA, 30274-1345
Phone Number
678-913-3255
Fax Number
404-975-4376
Provider Enumeration Date
02/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1990 Old Parker Rd Se
City
Conyers
State
Georgia
Zip
30094-6239
Phone Number
678-913-3255
Fax Number
404-975-4376
person
Provider Business Mailing Address Details
Address
1990 Old Parker Rd Se
City
Conyers
State
Georgia
Zip
30094-6239
Phone Number
678-913-3255
Fax Number
404-975-4376
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
478 (Georgia)
Definition
Definition to come...
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