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Individual
CONNOR BENEFIELD
Active
Individual
CONNOR BENEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
AMFT123621
CA
Other
Enumeration date
11/13/2020
Last updated
01/04/2021
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