Individual
MR. BENJAMIN NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDS, LPC
Contact information
Practice address
BLUEGRASS CARE CLINIC, 740 S. LIMESTONE L511, LEXINGTON, KY 40536-0001
(859) 218-3815
(859) 257-4953
Mailing address
3520 DANADA DR, LEXINGTON, KY 40517-2731
(740) 701-6689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
165327
KY
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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