Organization
BENJAMIN WHITE PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WHITE LCSW (OWNER/MEMBER)
(970) 281-7727
Entity
Organization
Contact information
Practice address
601 S LONGMONT AVE, LAFAYETTE, CO 80026-1539
(970) 281-7727
Mailing address
601 S LONGMONT AVE, LAFAYETTE, CO 80026-1539
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW.09924471
CO
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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