Individual
BONNIE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2026 W BEACON AVE, ANAHEIM, CA 92804-4406
(657) 276-7030
Mailing address
2026 W BEACON AVE, ANAHEIM, CA 92804-4406
(657) 276-7030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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