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Individual
MS. MELISSA KELLY BENSON
Active
Individual
MS. MELISSA KELLY BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1025
NC
1041C0700X
Clinical Social Worker
Primary
C00046
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002717
—
NC
Enumeration date
07/05/2007
Last updated
09/25/2024
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