Provider Demographics
NPI:1154542868
Name:BENTE, JENNIFER (CADC II)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:BENTE
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 HELLING WAY
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-8619
Mailing Address - Country:US
Mailing Address - Phone:530-265-7222
Mailing Address - Fax:530-265-9376
Practice Address - Street 1:995 HELLING WAY
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-8619
Practice Address - Country:US
Practice Address - Phone:530-265-7222
Practice Address - Fax:530-265-9376
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA8367702101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)