Individual
IAN BENEMERITO
Active
Individual
IAN BENEMERITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024044441
MO
106H00000X
Marriage & Family Therapist
2022016442
MO
Other
Enumeration date
07/05/2022
Last updated
08/12/2025
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