Individual
MR. TODD BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2476 OCEANSIDE RD, OCEANSIDE, NY 11572-1537
(516) 536-9732
(516) 536-5391
Mailing address
2476 OCEANSIDE RD, OCEANSIDE, NY 11572-1537
(516) 536-9732
(516) 536-5391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25831
NY
101YM0800X
Mental Health Counselor
25831
NY
1041C0700X
Clinical Social Worker
25831
—
1041S0200X
School Social Worker
Primary
25831
NY
106H00000X
Marriage & Family Therapist
25831
NY
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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