Healthcare Provider Details

I. General information

NPI: 1447182043
Provider Name (Legal Business Name): JOAN BUDESA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44199 MONROE ST STE B
INDIO CA
92201-3094
US

IV. Provider business mailing address

2655 N CERRITOS RD
PALM SPRINGS CA
92262-2532
US

V. Phone/Fax

Practice location:
  • Phone: 760-217-9324
  • Fax:
Mailing address:
  • Phone: 805-708-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: