Individual
MRS. BRENDA ANASTACIA DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.T.S.
Contact information
Practice address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Mailing address
539 N VAN NESS AVE, FRESNO, CA 93728-3419
(559) 266-9581
(559) 498-0507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
051115
CA
Other
Enumeration date
02/21/2007
Last updated
12/05/2018
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