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Individual
JULIE BENVENUTO
Active
Individual
JULIE BENVENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
79847
TX
101YP1600X
Pastoral Counselor
79847
TX
101YP2500X
Professional Counselor
Primary
79847
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79847
STATE OF TEXAS
TX
Enumeration date
10/29/2019
Last updated
10/29/2019
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