JACOB PHILIP BENNING

PARADISE, CA
NPI1720466493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-05-13
Last Update Date2015-08-28
Business Address
Mr. JACOB PHILIP BENNING
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965
Mailing Address
Mr. JACOB PHILIP BENNING
7204 SKYWAY
PARADISE, CA 95969-3280
Phone number: 530-877-1965