Individual
BENJAMIN T WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ED.S., NCC
Contact information
Practice address
208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
(336) 272-1200
Mailing address
208 E BESSEMER AVE, GREENSBORO, NC 27401-6320
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A8506
NC
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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