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Individual
VICTORIA DEBENEDETTI
Active
Individual
VICTORIA DEBENEDETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100448
STAFF ID NUMBER
CA
Enumeration date
01/08/2008
Last updated
07/15/2011
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