Individual
BENJAMIN GIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-I
Contact information
Practice address
15631 WILLIAMS ST APT 70, TUSTIN, CA 92780-4832
(815) 616-0884
Mailing address
15631 WILLIAMS ST APT 70, TUSTIN, CA 92780-4832
(815) 616-0884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CI43040624
CA
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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