Individual
BENJAMIN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Mailing address
2150 STOCKTON BLVD, SACRAMENTO, CA 95817-1337
(916) 875-1000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
Other
Enumeration date
01/09/2017
Last updated
10/27/2022
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