Vincent Giovanni Cruz
Counselor, Addiction (Substance Use Disorder) in Venice, CA. Individual provider (NPI-1).
NPI number1164045886
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1164045886
- Entity type
- Individual (NPI-1)
- Name
- Vincent Giovanni Cruz
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2020
- Certification date
- May 28, 2020
- Last updated
- May 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1389180520 | CA | Yes |
Practice location
503 Ocean Front WalkVenice, CA 90291-2403
Phone 310-392-3070
Mailing address
503 Ocean Front WalkVenice, CA 90291-2403
Phone 310-392-3070
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All 71 Addiction (Substance Use Disorder) Counselor providers in Venice · All 751 providers in Venice
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