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1235845991
BEN MANCILLAS
SANTA CRUZ, CA
NPI
1235845991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1495420123)
Enumeration Date
2023-01-26
Last Update Date
2023-01-26
Business Address
BEN MANCILLAS
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
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Mailing Address
BEN MANCILLAS
200 7TH AVE STE 150
SANTA CRUZ, CA 95062-4669
Phone number: 831-462-1060
Copy
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