Individual
MS. BENJETTA YVETTE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BRIGGSMORE AVE, SUITE I, MODESTO, CA 95350-3839
(209) 526-1476
(209) 526-0908
Mailing address
2000 W BRIGGSMORE AVE, SUITE I, MODESTO, CA 95350-3839
(209) 526-1476
(209) 526-0908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
06/15/2015
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