Organization Name: | UMOJA COUNSELING AND CONSULTING SERVICES, KAREN J. BENJAMIN LCSW, INC. |
NPI Number: | 1245672013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN JOANNE BENJAMIN (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 2643 Appian Way Suite E Pinole |
State: | CA US |
Postal Code: | 945642263 |
Phone Number: | 5106691798 |
Fax Number: | 5106691798 |
NPI Enumeration Date: | 07/22/2013 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS 25628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |