BEN MANCILLAS

SANTA CRUZ, CA
NPI1235845991
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1495420123)
Enumeration Date2023-01-26
Last Update Date2023-01-26
Business Address
BEN MANCILLAS
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
Mailing Address
BEN MANCILLAS
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060