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Individual
JEFFREY SAM BENON
Active
Individual
JEFFREY SAM BENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CATC 102373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CATC 102373
CA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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