Individual
BENITA MUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
5319 SW WESTGATE DR STE 241, PORTLAND, OR 97221-2432
(503) 360-6656
Mailing address
7810 SW GEARHART DR, BEAVERTON, OR 97007-5979
(503) 360-6656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C4534
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
14-12-21
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
C4534
OR
Other
Enumeration date
02/15/2016
Last updated
03/10/2024
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