ELROY BENTON WILBOURN

SACRAMENTO, CA
NPI1164729661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A5260710)
Enumeration Date2011-02-17
Last Update Date2011-02-17
Business Address
-- ELROY BENTON WILBOURN
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
Mailing Address
-- ELROY BENTON WILBOURN
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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