Individual
MRS. BENET EJAY GUIDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
199 E WEBSTER ST, COLUSA, CA 95932-2954
(530) 619-0800
Mailing address
199 E WEBSTER ST, COLUSA, CA 95932-2954
(530) 619-0800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW96514
CA
Other
Enumeration date
09/09/2009
Last updated
07/26/2023
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