LAVETA BENTON

SAN LUIS OBISPO, CA
NPI1508076951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  PT17973)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- LAVETA BENTON PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4001
Mailing Address
-- LAVETA BENTON PT
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4001