Individual
CHARLEMAGNE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
270 LAWRENCE AVE, LAWRENCE, NY 11559-1224
(516) 239-6244
(516) 371-2147
Mailing address
270 LAWRENCE AVE, LAWRENCE, NY 11559-1224
(516) 239-6244
(516) 371-2147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC 28909
NY
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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