Breanna Raquelle Cruz
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA
NPI 1689246746 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1689246746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 14715 Hwy 20
Clearlake Oaks, CA 95423 - Phone
- (707) 998-1800
- Fax
- (707) 998-0122
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilltop Recovery Services | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
14715 Hwy 20
Clearlake Oaks, CA 95423
Mailing address
PO Box 366
Clearlake Oaks, CA 95423-0366
Phone (707) 349-8897
Other names
- Breanna Raquelle Ahart
Other providers in Clearlake Oaks, CA
- Cierra Elizabeth Canfield
- Clearlake Oaks Fire Protection District
- Christopher William Cline
- Heather Connors Herbert
- County of Lake
- Celia M Drill
- Charlene Jean Duncan
- East Lake Elementary
- Alonzo Eison IV
- Shawn Edward Fox
All providers in Clearlake Oaks, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.