Individual
BENJAMIN VINCENT CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-11-10569
OR
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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