Individual
CHARLENE BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1286 CALLEN ST, VACAVILLE, CA 95688-3002
(707) 447-8982
(707) 447-3205
Mailing address
1286 CALLEN ST, VACAVILLE, CA 95688-3002
(707) 447-8982
(707) 447-3205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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