Individual
FELIX BENALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42920 W BLAZEN TRL, MARICOPA, AZ 85138-5823
(928) 550-8245
Mailing address
PO BOX 11357, BAPCHULE, AZ 85121-0112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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