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Individual
TODD A BENSON
Active
Individual
TODD A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60081261
WA
104100000X
Social Worker
CG61105894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y99995L
—
WA
Enumeration date
06/12/2018
Last updated
09/07/2022
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