Individual
MR. MARK ANDREW BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTERS DEGREE
Contact information
Practice address
112 BOEYKENS PL STE 4A, NORMAL, IL 61761-6161
(309) 212-4192
Mailing address
112 BOEYKENS PL STE 4A, NORMAL, IL 61761-6161
(309) 212-4192
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180003833
IL
Other
Enumeration date
08/13/2010
Last updated
05/04/2020
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