Individual provider · Type 1 NPI

Jose De la Cruz

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1104205699 Active

Practice location

45550 Grace St
Indio, CA 92201-4610

Call (760) 342-1233 Map

Fax (760) 322-4554

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCADTP#1483 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104205699

Jose De la Cruz's National Provider Identifier is 1104205699, issued on May 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on May 29, 2015.