Individual
BENEDICTA ROSARIO MADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC I 24365
Contact information
Practice address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9031
(310) 679-9034
Mailing address
15519 CRENSHAW BLVD, GARDENA, CA 90249-4525
(310) 679-9031
(310) 679-9034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24365
CA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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