Individual
MR. BENJAMIN LOUIS GLEAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAMFT
Contact information
Practice address
6420 W 95TH ST, OVERLAND PARK, KS 66212-1433
(913) 826-3150
Mailing address
432 STERLING POINTE WAY, EDMOND, OK 73003-5256
(405) 464-3268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
03390
KS
Other
Enumeration date
04/26/2010
Last updated
05/06/2024
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