Ryan Joshua Bentick
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Carson, CA
NPI 1023440591 · NPPES record last updated Aug 6, 2013
Key facts
- NPI
- 1023440591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 21828 S. Avalon Blvd
Carson, CA 90745-3303 - Phone
- (424) 477-5225
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Recovery Program, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
21828 S. Avalon Blvd
Carson, CA 90745-3303
Mailing address
21828 S. Avalon Blvd
Carson, CA 90745-3303
Phone (424) 477-5225
Other providers in Carson, CA
- Evagrio Pagkaliwangan Bencito
- Zita Chidimma Benjamin
- Kevin Bennett
- Lorilynn Ann Bennett
- Rebecca Ann Bennett
- Allen Berger
- Sofia Bernabe
- Brittany Lyshion Berry
- Celia De Guzman Beto
- Betterlife Provider
All providers in Carson, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.