Individual
BENJAMIN MAXWELL WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(385) 261-2327
Mailing address
117 W 400 S, SALT LAKE CITY, UT 84101-1916
(385) 261-2327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13539313-6010
UT
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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