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Individual
DR. WILLIE BENSON
Active
Individual
DR. WILLIE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8975
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
182820120
CA
101YM0800X
Mental Health Counselor
Primary
8975
CA
101YP1600X
Pastoral Counselor
8975
CA
374K00000X
Religious Nonmedical Practitioner
8975
CA
Other
Enumeration date
09/11/2020
Last updated
09/14/2020
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