Individual
CAROLINE DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 W GRANT LINE RD STE 215, TRACY, CA 95377-7333
(760) 206-6885
Mailing address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 763-4760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/02/2024
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