Michael Alan Bennett, CADC1
Community Health Worker in San Jose, CA. Individual provider (NPI-1).
NPI number1386982007
StatusActive
Last updated in NPPESJan 31, 2013
Details
- NPI
- 1386982007
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Alan Bennett
- Credential
- CADC1
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2013
- Last updated
- Jan 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
602 E Santa Clara StSan Jose, CA 95112-1908
Phone 408-445-3400 · Fax 408-988-8043
Mailing address
602 E Santa Clara StSan Jose, CA 95112-1908
Phone 408-445-3400 · Fax 408-998-8043
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All 111 Community Health Worker providers in San Jose · All 25,183 providers in San Jose
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