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Individual
BROOKE N. BENHAM
Active
Individual
BROOKE N. BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC; LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
080528
IA
101YP2500X
Professional Counselor
2012024652
MO
Other
Enumeration date
09/07/2012
Last updated
05/25/2016
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