Jennifer L. Benz, M.A.

Individual provider Active NPI Marriage & Family Therapist · Danville, CA

NPI 1013072735 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013072735
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
IMF 47319 (CA)
Practice address
115 Town and Country Dr Ste a
Danville, CA 94526-3960
Phone
(925) 837-0505
Fax
(925) 837-0568
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF 47319CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 47319 CA Yes

Addresses

Primary practice location

115 Town and Country Dr Ste a
Danville, CA 94526-3960

Mailing address

115 Town and Country Dr Ste a
Danville, CA 94526-3960
Phone (925) 837-0505

Other providers in Danville, CA

All providers in Danville, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.