Individual
BRENDA GISSELLE CORTES CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4040
Mailing address
2605 S MILLER ST STE 101, SANTA MARIA, CA 93455-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689762486
MCMILLAN RANCH
CA
Enumeration date
05/22/2023
Last updated
05/11/2025
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