Individual
MR. BEN BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1813 W KIRBY AVE STE 120, CHAMPAIGN, IL 61821-5410
(217) 383-1850
(217) 383-3439
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018152
IL
Other
Enumeration date
12/12/2013
Last updated
07/21/2022
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