BENJAMIN KORSMO

VALLEJO, CA
NPI1972987881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
-- BENJAMIN KORSMO
521 GEORGIA ST
VALLEJO, CA 94590-6006
Phone number: 707-534-6063
Mailing Address
-- BENJAMIN KORSMO
521 GEORGIA ST
VALLEJO, CA 94590-6006
Phone number:
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