PHOEBE MARIE BENEDICT
NPI 1386214849
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA
Active since June 28, 2021
About Phoebe Marie Benedict NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOEBE MARIE BENEDICT (NPI 1386214849) is an individual addiction (substance use disorder) provider in San Bernardino, California and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1386214849
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHOEBE MARIE BENEDICT
Location Address1100 NORTH DSTSan Bernardino, CA 92410-3523
Mailing Address1100 North DstSan Bernardino, CA 92410-3523 · (909) 888-6956 · Fax (909) 521-7113
Phone(909) 884-0840
Fax(909) 521-7113
Sole ProprietorYes
Enumeration DateJune 28, 2021
Last NPPES UpdateJanuary 10, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1386214849 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1100 NORTH DST, San Bernardino, CA 92410
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386214849, enumerated as an "individual" on June 28, 2021.
The provider is located at 1100 NORTH DST SAN BERNARDINO, CA 92410 and the phone number is (909) 884-0840.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
