Individual
BENITO RUACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806
(562) 256-2980
Mailing address
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806-2325
(562) 256-2900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
83183
CA
1041C0700X
Clinical Social Worker
Primary
LCSW124574
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2014
Last updated
07/30/2024
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