Carolyn Jean Benson
Peer Specialist in Riverside, CA. Individual provider (NPI-1).
NPI number1154836740
StatusActive
Last updated in NPPESDec 5, 2017
Details
- NPI
- 1154836740
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Jean Benson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2017
- Last updated
- Dec 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
2085 Rustin Ave # 4Riverside, CA 92507-2498
Phone 951-955-8000
Mailing address
15414 Perris Blvd Apt BMoreno Valley, CA 92551-4563
Phone 951-230-7222
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