JOSE R BENAVIDES

SAN RAFAEL, CA
NPI1447843818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  210002BN)
Enumeration Date2021-02-17
Last Update Date2021-02-17
Business Address
JOSE R BENAVIDES
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
JOSE R BENAVIDES
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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