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JENNIFER DE LA CRUZ
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1013391044
Individual Registrant: JENNIFER DE LA CRUZ
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
40 E MINARETS AVE PINEDALE, CA 93650-1239 US
Tel: 559-436-0482 Fax: --
Tel: 559-436-0482 Fax: --
Contact information for business:
40 E MINARETS AVE PINEDALE, CA 93650-1239 US
Tel: 559-436-0482 Fax: --
Tel: 559-436-0482 Fax: --
Registration Information:
NPI: 1013391044
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 105151 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
