Christine Benavidez
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · La Verne, CA
NPI 1588023337 · NPPES record last updated Feb 22, 2016
Key facts
- NPI
- 1588023337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- B1308051201 (CA)
- Practice address
- 2909 Arrow Hwy
Space 901
La Verne, CA 91750-5601 - Phone
- (909) 461-8390
- NPI assigned
- Feb 22, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1308051201 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | B1308051201 | CA | Yes |
Addresses
Primary practice location
2909 Arrow Hwy
Space 901
La Verne, CA 91750-5601
Mailing address
2909 Arrow Hwy
Space 901
La Verne, CA 91750-5601
Phone (909) 461-8390
Other providers in La Verne, CA
- Tanya Bartholomew
- Habib Moussa Bashoura
- Matthew Douglas Bauer
- Chelsea Blue Bazilian
- Gerardo Becerra Loera
- Valerie Stephanie Bendana
- Danielle Bennett
- Jacqueline L Bennett
- Bernadette L. Brennecke, LCSW, Inc.
- Elijah Elias Bernal
All providers in La Verne, 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 Feb 22, 2016. 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.