Individual
MR. BENJAMIN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
790 E BONITA AVE, POMONA, CA 91767-1906
(909) 625-7207
Mailing address
17002 E. QUEENSIDE DR., COVINA, CA 91722
(818) 395-6084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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