Individual
BENJAMIN W DEGIULIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 BEAVERCREEK RD, OREGON CITY, OR 97045-4307
(503) 655-8471
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 236-1600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3425
OR
101YP2500X
Professional Counselor
LPC-4963
ID
Other
Enumeration date
08/08/2012
Last updated
10/04/2017
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