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Individual
MR. JACK KENT BENSON
Active
Individual
MR. JACK KENT BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC 33471
CA
Other
Enumeration date
11/06/2008
Last updated
04/05/2013
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