Individual
BENJAMIN RUSSELL FIENUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
1203 ELMRIDGE DR, CEDAR FALLS, IA 50613-5404
(319) 504-5982
Mailing address
1203 ELMRIDGE DR, CEDAR FALLS, IA 50613-5404
(319) 504-5982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
108949
IA
Other
Enumeration date
06/23/2021
Last updated
11/13/2023
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