Estela Cruz
Day Training/Habilitation Specialist in Stockton, CA. Individual provider (NPI-1).
NPI number1962017509
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1962017509
- Entity type
- Individual (NPI-1)
- Name
- Estela Cruz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2020
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
| 101Y00000X | Counselor | CG61105085 | WA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14514-RAC | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
2423 W March Ln Ste 200Stockton, CA 95207-8250
Phone 209-478-9862
Mailing address
2423 W March Ln Ste 200Stockton, CA 95207-8250
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All 291 Day Training/Habilitation Specialist providers in Stockton · All 11,041 providers in Stockton
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