Individual
BENJAMIN ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4509 DUPLESSIS ST, NEW ORLEANS, LA 70122-7600
(781) 626-2875
Mailing address
4509 DUPLESSIS ST, NEW ORLEANS, LA 70122-7600
(781) 626-2875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5305
LA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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