Individual
BENJAMIN PAUL MADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
9015 MURRAY AVE STE 100, GILROY, CA 95020
(408) 846-4770
(408) 842-0757
Mailing address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3617
(408) 846-4770
(408) 842-0757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/15/2008
Last updated
05/30/2018
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