Mihaela Ruth Benson, MSMFT

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

NPI 1053508762 · NPPES record last updated Sep 26, 2007

Key facts

NPI
1053508762
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC43469 (CA)
Practice address
39899 Balentine Dr
Suite 310
Newark, CA 94560-5355
Phone
(510) 979-0200
Fax
(510) 979-0201
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC43469CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC43469 CA Yes

Addresses

Primary practice location

39899 Balentine Dr
Suite 310
Newark, CA 94560-5355

Mailing address

1000 Zebrina Way
San Ramon, CA 94582-5209
Phone (925) 309-4893

Other providers in Newark, CA

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

Sources for this page

Verify at the official NPI Registry.