Individual
BENJAMIN CHRISTIAN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6200
Mailing address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/20/2019
Last updated
03/20/2019
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