# DR. BENJAMIN JOHN NEELEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699205963
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH60779551 | WA | — |
| 103T00000X | Psychologist | PY60779123 | WA | Yes |
| 103TC1900X | Counseling Psychologist | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2017
- **Last updated:** 03/07/2023