MR. Jose De La Cruz
NPI #1104205699 in Indio, California
Provider Information
- NPI Number
- 1104205699
- Entity Type
- Individual
- Name
- MR. Jose De La Cruz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 29, 2015
- Last Updated
- May 29, 2015
Practice Location
- Address
- 45550 GRACE ST
- City
- Indio
- State
- California
- ZIP Code
- 92201-4610
- Phone
- (760) 342-1233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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