Benece Juanda Booker, M.A,
Individual provider Active NPI Mental Health Counselor · Hercules, CA
NPI 1992036065 · NPPES record last updated Jan 28, 2010
Key facts
- NPI
- 1992036065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 61966 (CA)
- Practice address
- 100 Copper Beech GLN
Hercules, CA 94547-2667 - Phone
- (510) 485-4851
- NPI assigned
- Jan 28, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61966 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 61966 | CA | Yes |
Addresses
Primary practice location
100 Copper Beech GLN
Hercules, CA 94547-2667
Mailing address
100 Copper Beech GLN
Hercules, CA 94547-2667
Phone (510) 485-4851
Other providers in Hercules, CA
- Namrata Bhullar
- Blize Healthcare California Inc.
- Blize Healthcare California Inc.
- BM Behavioral Center
- Ann Bonner
- BR Pucan II Professional Dental Corporation
- Darren Bracey
- Ayante Braggs
- Boris Yakov Brand
- Caryn Ann Brock
All providers in Hercules, CA · Mental Health 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 Jan 28, 2010. 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.