Cruz, Breanna Raquelle

Cruz, Breanna Raquelle is an individual health care provider with primary practice located at 14715 Hwy 20 , Clearlake Oaks CA 95423. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Cruz, Breanna Raquelle can be contacted via phone (707) 998-1800.

Contact Information

Primary practice address
14715 Hwy 20 Clearlake Oaks CA 95423
Phone: (707) 998-1800
Fax: (707) 998-0122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1689246746
LBN Legal business name Cruz, Breanna Raquelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2021
Last updated Jul 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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