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Individual

BENJAMIN BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAS

Contact information

Practice address
600 3RD ST, LAKE ELSINORE, CA 92530-2748
(951) 674-5354
(951) 674-5227
Mailing address
600 3RD ST, LAKE ELSINORE, CA 92530-2748
(951) 674-5354
(951) 674-5227

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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