David Anthony Cruz
Counselor, Addiction (Substance Use Disorder) in Pasadena, CA. Individual provider (NPI-1).
NPI number1104580992
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1104580992
- Entity type
- Individual (NPI-1)
- Name
- David Anthony Cruz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2021
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1680 N Fair Oaks AvePasadena, CA 91103-1642
Phone 626-798-0884
Mailing address
1680 N Fair Oaks AvePasadena, CA 91103-1642
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