person
Mario Vincente Benavidez, CADC-CAS
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1467897751

Mario Vincente Benavidez is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Mario Vincente Benavidez practices in Modesto, CA and has the professional credentials of CADC-CAS. The NPI Number for Mario Vincente Benavidez is 1467897751 and holds a License No. C032690315 (California).

The current practice location address for Mario Vincente Benavidez is 190 E Hackett Rd, Modesto, CA and can be reached out via phone at 209-525-7218 and via fax at 209-558-1082.

Location: 190 E Hackett Rd, Modesto, CA, 95350-6131
person
Provider Profile Details
NPI Number
1467897751
Provider Name
Mario Vincente Benavidez
Credential
CADC-CAS
Provider Entity Type
Individual
Gender
Male
Address
190 E Hackett Rd, Modesto, CA, 95350-6131
Phone Number
209-525-7218
Fax Number
209-558-1082
Provider Enumeration Date
05/01/2013
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
190 E Hackett Rd
City
State
Zip
95358-9001
Phone Number
209-525-7218
Fax Number
209-558-1082
person
Provider Business Mailing Address Details
Address
190 E Hackett Rd
City
State
Zip
95358-9001
Phone Number
209-525-7218
Fax Number
209-558-1082
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C032690315 (California)
Definition
Definition to come...
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