Individual
KELLY JACOB BENINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CHT
Contact information
Practice address
7220 W JEFFERSON AVE STE 210, LAKEWOOD, CO 80235-2023
(303) 903-5523
Mailing address
7220 W JEFFERSON AVE STE 210, LAKEWOOD, CO 80235-2023
(303) 903-5523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NLC.0110096
CO
106H00000X
Marriage & Family Therapist
Primary
NLC.0110096
CO
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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