| Umoja Counseling And Consulting Services, Karen J. Benjamin Lcsw, Inc. | |
|
2643 Appian Way Suite E Pinole CA 94564-2263 | |
| (510) 669-1798 | |
| (510) 669-1798 |
| Full Name | Umoja Counseling And Consulting Services, Karen J. Benjamin Lcsw, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2643 Appian Way, Pinole, California |
| Authorized Official Name and Position | Karen Joanne Benjamin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5106691798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umoja Counseling And Consulting Services, Karen J. Benjamin Lcsw, Inc. 2643 Appian Way Suite E Pinole CA 94564-2263 Ph: (510) 669-1798 | Umoja Counseling And Consulting Services, Karen J. Benjamin Lcsw, Inc. 2643 Appian Way Suite E Pinole CA 94564-2263 Ph: (510) 669-1798 |
| NPI Number | 1245672013 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 8022237668 |
|---|---|
| Medicare Enrollment ID | O20140915001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245672013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCS 25628 (California) | Primary |
| Provider Name | Karen Joanne Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598993966 PECOS PAC ID: 8527287168 Enrollment ID: I20140915001244 |
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