Provider Demographics
NPI:1871735332
Name:HER, BEN CHUE
Entity type:Individual
Prefix:
First Name:BEN
Middle Name:CHUE
Last Name:HER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 W BEECHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93650-1347
Mailing Address - Country:US
Mailing Address - Phone:209-777-3391
Mailing Address - Fax:
Practice Address - Street 1:339 W BEECHWOOD AVE
Practice Address - Street 2:
Practice Address - City:PINEDALE
Practice Address - State:CA
Practice Address - Zip Code:93650-1347
Practice Address - Country:US
Practice Address - Phone:209-777-3391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor