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Individual

MS. JESSICA SUSAN BENSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCAT, ATR-BC

Contact information

Practice address
132 W 21ST ST FL 6, NEW YORK, NY 10011-3203
(212) 592-2755
Mailing address
132 W 21ST ST FL 6, NEW YORK, NY 10011-3203
(212) 592-2755

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
221700000X
Art Therapist
Primary
05 001494
NY

Other

Enumeration date
05/07/2015
Last updated
05/07/2015
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