Individual
MR. BENJAMIN RYAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2501 HUNTER PL STE 202, WOODBRIDGE, VA 22192-3940
(304) 940-9724
Mailing address
2950 MARSALA CT, WOODBRIDGE, VA 22192-1605
(304) 940-9724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701009769
VA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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