BENJAMIN MEDINA

VAN NUYS, CA
NPI1780978692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  071425-II)
Enumeration Date2011-06-08
Last Update Date2011-06-08
Business Address
-- BENJAMIN MEDINA
5935 VAN NUYS BLVD
VAN NUYS, CA 91401-3624
Phone number: 818-285-1900
Mailing Address
-- BENJAMIN MEDINA
PO BOX 921015
SYLMAR, CA 91392-1015
Phone number: 818-285-1900
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