Individual provider · Type 1 NPI

Bruce Arlen Benham, RADT

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1942889985 Active

Practice location

603 D St
San Rafael, CA 94901-3719

Call (415) 454-9444 Map

Fax (415) 454-4864

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 1942889985

Bruce Arlen Benham, RADT's National Provider Identifier is 1942889985, issued on Apr 6, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Apr 6, 2021.