BENJAMIN WILLIAM BLAIR

SANTA ROSA, CA
NPI1003510769
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  49-02)
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
Mr. BENJAMIN WILLIAM BLAIR R1499800323
625 STEELE LN
SANTA ROSA, CA 95403-3127
Phone number: 707-576-0818
Mailing Address
Mr. BENJAMIN WILLIAM BLAIR R1499800323
625 STEELE LN
SANTA ROSA, CA 95403-3127
Phone number: 707-576-0818
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