DAMIEN LEE BENAVIDEZ

GARDEN VALLEY, CA
NPI1760944540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1347350519)
Enumeration Date2019-04-02
Last Update Date2020-05-14
Business Address
DAMIEN LEE BENAVIDEZ RADTI
5607 MOUNT MURPHY RD
GARDEN VALLEY, CA 95633-9563
Phone number: 530-333-9460
Mailing Address
DAMIEN LEE BENAVIDEZ RADTI
PO BOX 871
GARDEN VALLEY, CA 95633-0871
Phone number: 530-333-9460
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