Individual
BENJAMIN BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8373
Mailing address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1328451118
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
11/13/2019
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