Jacques, Benita

Jacques, Benita is an individual health care provider with primary practice located at 2323 Broadway , Oakland CA 94612-2414. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Health Educator. Other Service Providers / Health Educator is her primary health care specialty. Jacques, Benita can be contacted via phone (415) 580-0090.

Contact Information

Primary practice address
2323 Broadway Oakland CA 94612-2414
Phone: (415) 580-0090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1932535150
LBN Legal business name Jacques, Benita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2013
Last updated May 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932535150 NPPES
California Other 00 AC BHCS CLINICIAN 00

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