Individual
CHARNELL BENJAMIN-CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10305 BOGGY MOSS DR, RIVERVIEW, FL 33578-9503
(813) 205-0079
Mailing address
10305 BOGGY MOSS DR, RIVERVIEW, FL 33578-9503
(813) 205-0079
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH-17419
FL
171W00000X
Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B525100736800
DRIVER LICENSE NUMBER
FL
01
—
C636-102-73-680-0
DRIVER LICENSE NUMBER
FL
Enumeration date
01/09/2013
Last updated
10/24/2024
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