Individual
MR. BENJAMIN J KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
(760) 975-9939
Mailing address
490 N GRAPE ST, ESCONDIDO, CA 92025-3079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TH0100X
Health Service Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2022
Last updated
05/19/2023
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