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Individual

BENJAMIN CLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
4250 FOWLER LN STE 204, DIAMOND SPRINGS, CA 95619-9782
(530) 626-3105
Mailing address
3647 JENNY LIND AVE, NORTH HIGHLANDS, CA 95660-5609

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14202
CA
101YP2500X
Professional Counselor
Primary
14202
CA

Other

Enumeration date
07/31/2023
Last updated
02/02/2026
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