Provider Demographics
NPI:1508499773
Name:BENITO, CHRISTINA HUYNH (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:HUYNH
Last Name:BENITO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2212
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-9112
Mailing Address - Country:US
Mailing Address - Phone:831-298-0639
Mailing Address - Fax:
Practice Address - Street 1:820 W HIND DR STE 210
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1851
Practice Address - Country:US
Practice Address - Phone:808-379-6656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-17
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical