MR. Benjamin William Blair, R1499800323
NPI #1003510769 in Santa Rosa, California
Provider Information
- NPI Number
- 1003510769
- Entity Type
- Individual
- Name
- MR. Benjamin William Blair, R1499800323
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- R1499800323
- Enumeration Date
- Mar 28, 2023
- Last Updated
- Mar 28, 2023
Practice Location
- Address
- 625 STEELE LN
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95403-3127
- Phone
- (707) 576-0818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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