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Maximillian De La Cruz
Mental Health Counselor in Visalia, California
NPI 1821517624

Maximillian De La Cruz is a Mental Health Counselor based in Visalia, CA and is specialized in Mental Health. Maximillian De La Cruz practices in Visalia, CA. The NPI Number for Maximillian De La Cruz is 1821517624 and holds a License No. (California).

The current practice location address for Maximillian De La Cruz is 6200 S Mooney Blvd, Visalia, CA and can be reached out via phone at 559-747-3984.

Location: 6200 S Mooney Blvd, Visalia, CA, 93278-5091
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821517624
Provider Name
Maximillian De La Cruz
Credential
Provider Entity Type
Individual
Gender
Male
Address
6200 S Mooney Blvd, Visalia, CA, 93278-5091
Phone Number
559-747-3984
Fax Number
Provider Enumeration Date
09/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6200 S Mooney Blvd
City
Visalia
State
California
Zip
93277-9396
Phone Number
559-747-3984
Fax Number
person
Provider Business Mailing Address Details
Address
6200 S Mooney Blvd
City
Visalia
State
California
Zip
93277-9396
Phone Number
559-747-3984
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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