| Mr Jose De La Cruz, | |
|
45550 Grace St, Indio, CA 92201-4610 | |
| (760) 342-1233 | |
| (760) 322-4554 |
| Full Name | Mr Jose De La Cruz |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 45550 Grace St, Indio, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104205699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADTP#1483 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jose De La Cruz, 45550 Grace St, Indio, CA 92201-4610 Ph: (760) 342-1233 | Mr Jose De La Cruz, 45550 Grace St, Indio, CA 92201-4610 Ph: (760) 342-1233 |
Marivel Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8600 Fax: 760-863-8655 | |
Anna Marie Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43485 Hollyhock St, Indio, CA 92201 Phone: 760-619-2860 | |
Mr. Kevin G Brown Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 81840 Avenue 46, 201, Indio, CA 92201 Phone: 760-391-6999 Fax: 760-391-6998 | |
Mirta Lerma, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8638 | |
Dominick Cardillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 83844 Hopi Ave, Indio, CA 92203 Phone: 760-347-9442 | |
Michael Joel Lopez, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 44359 Palm St, Indio, CA 92201 Phone: 760-342-6616 | |
Justin Vaughn Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44374 Palm St, Indio, CA 92201 Phone: 760-342-6616 |