| 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 |