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MR. STEFAN BENTON MFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1063645364
Individual Registrant:MR. STEFAN BENTON MFT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
21 TAMAL VISTA BLVD SUITE 224 CORTE MADERA, CA 94925-1130 US
Tel: 415-924-7785 Fax: 415-924-7785
Tel: 415-924-7785 Fax: 415-924-7785
Contact information for business:
21 TAMAL VISTA BLVD SUITE 224 CORTE MADERA, CA 94925-1130 US
Tel: 415-924-7785 Fax: 415-924-7785
Tel: 415-924-7785 Fax: 415-924-7785
Registration Information:
NPI: 1063645364
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC34786 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
