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Individual

JOSEPH BENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LADC

Contact information

Practice address
87 S MAIN ST STE 14, NEWTOWN, CT 06470-2315
(203) 666-1605
(475) 323-2144
Mailing address
215 JACQUELINE DR, SOUTHBURY, CT 06488-2354
(203) 666-1605

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3519
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1234
CT
101YM0800X
Mental Health Counselor
3519
CT

Other

Enumeration date
04/02/2017
Last updated
07/14/2023
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