Individual
MR. BENJAMIN K KANEAIAKALA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAADC
Contact information
Practice address
18 PIARA ST, RANCHO MISSION VIEJO, CA 92694-1821
(949) 463-8381
Mailing address
18 PIARA ST, RANCHO MISSION VIEJO, CA 92694-1821
(949) 463-8381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCI11840518
CA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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