Individual
KRISTEN DUKES BENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1534 SIMMONS RD, PAVO, GA 31778-4107
(229) 403-5062
Mailing address
1534 SIMMONS RD, PAVO, GA 31778-4107
(229) 403-5062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC008406
GA
Other
Enumeration date
12/10/2012
Last updated
01/20/2016
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