Individual
BENJAMIN ANDREW WYSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
Mailing address
6950 65TH ST, SACRAMENTO, CA 95823-2316
(916) 393-1222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
135461
CA
390200000X
Student in an Organized Health Care Education/Training Program
135461
CA
Other
Enumeration date
04/26/2022
Last updated
05/06/2026
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