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NPI Code Detail

MEDICARE: MS. MELISSA DELACRUZ

MEDICARE:  MS. MELISSA  DELACRUZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor3434008ANCA

General Provider Information

NPI Number : 1093871022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA DELACRUZ
Provider Business Mailing Address
First Line : 3307 BROADWAY STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2821
Country : US
Telephone Number : 916-454-4242
Fax Number : 916-454-2930
Provider Business Practice Location Address
First Line : 3307 BROADWAY STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2821
Country : US
Telephone Number : 916-454-4242
Fax Number : 916-454-2930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MELISSA DELACRUZ ” Practice Location

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