Individual provider · Type 1 NPI
Ben Mancillas
Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
NPI number
1235845991
Active
Practice location
200 7th Ave Ste 150
Santa Cruz, CA 95062-4669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1495420123 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1235845991
Ben Mancillas's National Provider Identifier is 1235845991, issued on Jan 26, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 26, 2023.