Individual provider · Type 1 NPI
Suzanne Tavoularis Benjestorf, MFT, PhD
Mental Health Counselor · San Diego, CA
NPI number
1346405693
Active
Practice location
3937 9th Ave
San Diego, CA 92103-3210
Mailing address
PO Box 83912
San Diego, CA 92138-3912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY20520 (CA) |
| Mental Health Counselor Primary | 101YM0800X | MFT31894 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1346405693
Suzanne Tavoularis Benjestorf, MFT, PhD's National Provider Identifier is 1346405693, issued on Jul 25, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 5, 2023.