Individual
MR. BENJAMIN CUELLAR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CALIFORNIA LCSW
Contact information
Practice address
1225 OAKDALE RD, MODESTO, CA 95350
(209) 345-3543
(209) 557-6256
Mailing address
P.O. BOX 2673, TURLOCK, CA 95381
(209) 345-3543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34999
CA
1041C0700X
Clinical Social Worker
LCSW76682
CA
1041C0700X
Clinical Social Worker
LICSW3984C
AL
Other
Enumeration date
07/16/2014
Last updated
09/26/2018
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