Individual provider · Type 1 NPI

Tanisha Quemai Champion-Benjamin

Counselor · Fairfield, CA

NPI number 1790975894 Active

Practice location

956 E Tabor Ave
Fairfield, CA 94533-4104

Call (707) 422-9345 Map

Mailing address

50 Villa Cir
Fairfield, CA 94533-2523

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790975894

Tanisha Quemai Champion-Benjamin's National Provider Identifier is 1790975894, issued on Jul 26, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfield, CA. The record was last updated on Jul 26, 2007.