Individual provider · Type 1 NPI

Amanda Marie Benitez

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1205785458 Active

Practice location

1839 S El Dorado St
Stockton, CA 95206-2025

Call (209) 463-0872 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205785458

Amanda Marie Benitez's National Provider Identifier is 1205785458, issued on Jan 22, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jan 22, 2026.