Individual
AURELIA BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69730 HIGHWAY 111 STE 109, RANCHO MIRAGE, CA 92270-2873
(760) 322-1777
(760) 778-6122
Mailing address
53551 CESAR CHAVEZ ST APT 127, COACHELLA, CA 92236-1587
(760) 393-7262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1497140223
CA
Other
Enumeration date
02/07/2023
Last updated
08/08/2023
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