Individual provider · Type 1 NPI

Nahrain Colleen Benner, SUDCC- II CS 11072

Student in an Organized Health Care Education/Training Program · Ceres, CA

NPI number 1801323936 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Call (209) 541-2121 Map

Mailing address

10100 Trinity Pkwy
Stockton, CA 95219-7238

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

313 other providers at this address

Other student in an organized health care education/training program providers in Ceres

See all in Ceres →

About NPI 1801323936

Nahrain Colleen Benner, SUDCC- II CS 11072's National Provider Identifier is 1801323936, issued on May 19, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ceres, CA. The record was last updated on Aug 28, 2025.