Individual provider · Type 1 NPI

Derek Matthew Santa Cruz

Mental Health Counselor · Stockton, CA

NPI number 1093283376 Active

Practice location

2495 W March Ln Ste 125
Stockton, CA 95207-8224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093283376

Derek Matthew Santa Cruz's National Provider Identifier is 1093283376, issued on Nov 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Nov 5, 2018.