Individual provider · Type 1 NPI

Ronnie David Cruz, CADTP SUDRC 15010

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1861255499 Active

Practice location

603 D St
San Rafael, CA 94901-3719

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15010 (CA)

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

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About NPI 1861255499

Ronnie David Cruz, CADTP SUDRC 15010's National Provider Identifier is 1861255499, issued on Feb 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Feb 5, 2024.