Individual
CHRISTINE BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 ARROW HWY, SPACE 901, LA VERNE, CA 91750-5601
(909) 461-8390
Mailing address
2909 ARROW HWY, SPACE 901, LA VERNE, CA 91750-5601
(909) 461-8390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B1308051201
CA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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