Healthcare Provider Details

I. General information

NPI: 1154608776
Provider Name (Legal Business Name): CRISTINA DEL REFUGIO BENITEZ L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4175 S ALAMO AVE
TUCSON AZ
85707-4402
US

IV. Provider business mailing address

4175 S ALAMO AVE
TUCSON AZ
85707-4402
US

V. Phone/Fax

Practice location:
  • Phone: 520-228-4357
  • Fax:
Mailing address:
  • Phone: 520-228-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberIS Q1-0001475
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: