Individual
ANJANETTE GILLEY BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCA
Contact information
Practice address
650 HIGHLAND AVE STE 1000, WINSTON SALEM, NC 27101
(336) 607-8523
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13773
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A13773
LICENSED PROFESSIONAL COUNSELOR-ASSOCIATE
NC
Enumeration date
03/16/2018
Last updated
08/24/2018
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