Healthcare Provider Details

I. General information

NPI: 1467376822
Provider Name (Legal Business Name): CRAIG JARED FRENCH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43585 MONTEREY AVE STE 1
PALM DESERT CA
92260-9398
US

IV. Provider business mailing address

54925 AVENIDA RUBIO
LA QUINTA CA
92253-3783
US

V. Phone/Fax

Practice location:
  • Phone: 760-777-7720
  • Fax: 760-452-8532
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161358
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: