Individual
CARLOS BENITEZ YNIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1288, MADERA, CA 93639-1288
(559) 673-3508
Mailing address
18668 SHELL DR, MADERA, CA 93638-0284
(559) 660-2897
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23144
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
03/23/2026
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