NPI | 1669777819 |
---|---|
Professional Name | JEFFREY SAM BENON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CATC 102373) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2011-01-20 |