Individual
CONNIE R BENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2922 CLEVELAND BLVD, SUITE 300, CALDWELL, ID 83605-4436
(208) 459-2267
Mailing address
19222 UPPER PLEASANT RIDGE RD, CALDWELL, ID 83607-9082
(208) 850-9108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-3351
ID
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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