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Organization

WHITE PINE VENTURES

Active
Other names
White Pine Family Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
PETER HERBERT BENSON LMFT (CEO)
(801) 999-0580
Entity
Organization

Contact information

Practice address
63 E 1ST S, REXBURG, ID 83440-1938
(801) 999-0580
Mailing address
PO BOX 873, REXBURG, ID 83440-0873
(801) 999-0580

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
06/12/2021
Last updated
06/12/2021
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