TOMAS BENITEZ

LA GRANDE, OR
NPI1508600263
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  T243637)
Enumeration Date2024-06-19
Last Update Date2024-06-19
Business Address
TOMAS BENITEZ
105 FIR ST STE 327
LA GRANDE, OR 97850-2663
Phone number: 541-786-3361
Mailing Address
TOMAS BENITEZ
1810 G AVE APT 5
LA GRANDE, OR 97850-2848
Phone number: 541-786-3361
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