MEDICARE: PHOEBE MARIE BENEDICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor		CA

General Provider Information

NPI Number	:	1386214849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHOEBE MARIE BENEDICT

Provider Business Mailing Address
First Line	:	1100 NORTH DST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92410-3523
Country	:	US
Telephone Number	:	909-888-6956
Fax Number	:	909-521-7113

Provider Business Practice Location Address
First Line	:	1100 NORTH DST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92410-3523
Country	:	US
Telephone Number	:	909-884-0840
Fax Number	:	909-521-7113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	01/10/2024

Similar Medicare Providers

1487078143 — SYLVIA BARBOSA
Practice Location Address:

1135 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-888-6956
Practice Fax: 909-885-6758

1871669309 — CURTIS L. HARMON
Practice Location Address:

1115 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-888-7585
Practice Fax: 909-386-3609

1487879367 — MR. FRANK AURELIO SILVA CCAPP
Practice Location Address:

1149 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-571-6035
Practice Fax: 909-571-6333

1033314539 — ARTHUR WILLIAMS
Practice Location Address:

1149 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-571-6035
Practice Fax:

1427246214 — ISAAC CABALLERO
Practice Location Address:

1149 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-381-3774
Practice Fax: 909-381-6845

1922283845 — SANDRA ANN REZA
Practice Location Address:

1135 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-888-6956
Practice Fax: 909-381-6845

1578812046 — KELLY LIEBEL
Practice Location Address:

1149 N D ST
SAN BERNARDINO, CA
92410-3523

Practice Phone: 909-571-6035
Practice Fax: 909-571-6333

Directions to “ PHOEBE MARIE BENEDICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.