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LAURA BENAVIDEZ ASW
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1316425861
Individual Registrant: LAURA BENAVIDEZ ASW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
250 BON AIR RD UNIT B, FIRST FLOOR GREENBRAE, CA 94904 US
Tel: 415-473-7804 Fax: 415-473-2353
Tel: 415-473-7804 Fax: 415-473-2353
Contact information for business:
250 BON AIR RD UNIT B, FIRST FLOOR GREENBRAE, CA 94904 US
Tel: 415-473-7804 Fax: 415-473-2353
Tel: 415-473-7804 Fax: 415-473-2353
Registration Information:
NPI: 1316425861
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 104100000X | Behavioral Health & Social Service Providers Social Worker | CA | ASW90472 |
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | CA | ASW90472 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1316425861 | CA | 05 |
