Individual
SANDRA MARTIN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
405 N MCDONALD ST STE B, MCKINNEY, TX 75069-3911
(972) 542-4144
(480) 687-7361
Mailing address
405 N MCDONALD ST STE B, MCKINNEY, TX 75069-3911
(972) 542-4144
(480) 687-7361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15622
TX
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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