Individual
SHENAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
525 21ST ST, OAKLAND, CA 94612-1605
(510) 332-2741
Mailing address
7455 GREENHAVEN DR APT 3, SACRAMENTO, CA 95831-3987
(707) 718-3880
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KLVHBD
CA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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