Individual
BENJAMIN THOMAS VANDERVEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 COHO ST STE 202, MADISON, WI 53713-4531
(608) 616-0157
Mailing address
8551 GREENWAY BLVD APT 308, MIDDLETON, WI 53562-4678
(608) 772-6515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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