MICHAEL BENITEZ

WICHITA, KS
NPI1922472257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  417)
Enumeration Date2015-11-24
Last Update Date2015-11-24
Business Address
-- MICHAEL BENITEZ LAC
940 N WACO AVE
WICHITA, KS 67203-3947
Phone number: 316-660-7550
Mailing Address
-- MICHAEL BENITEZ LAC
934 N WATER ST
WICHITA, KS 67203-3838
Phone number: 316-660-7600
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