Individual
MICHAEL PAUL BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
11202 DISCO, SAN ANTONIO, TX 78216-2860
(210) 495-2797
Mailing address
20659 STONE OAK PKWY APT 905, SAN ANTONIO, TX 78258-7496
(956) 650-3628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10351
TX
Other
Enumeration date
06/30/2017
Last updated
03/17/2018
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