BRUCE ARLEN BENHAM

SAN RAFAEL, CA
NPI1942889985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-06
Last Update Date2021-04-06
Business Address
Mr. BRUCE ARLEN BENHAM RADT
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
Mailing Address
Mr. BRUCE ARLEN BENHAM RADT
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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