Organization
BENJAMIN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTA SERENA BENJAMIN LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(703) 599-1852
Entity
Organization
Contact information
Practice address
7614 SHEFFIELD GREEN WAY, LORTON, VA 22079-1710
(703) 599-1852
(186) 666-8453
Mailing address
12504 LAKE RIDGE DR, SUITE C, WOODBRIDGE, VA 22192-2390
(703) 599-1852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004674
VA
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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