Individual
JADA DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1826 COMMERCE DR, NORTH MANKATO, MN 56003-1800
(507) 229-0350
(507) 216-0371
Mailing address
1826 COMMERCE DR, NORTH MANKATO, MN 56003-1800
(507) 229-0350
(507) 216-0371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2754
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306648
LADC LICENSE
MN
Enumeration date
05/09/2022
Last updated
09/07/2023
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