Individual
MAUREENA BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3301 NEELY AVE, MIDLAND, TX 79707-5808
(432) 889-4064
Mailing address
3118 W LOUISIANA AVE, MIDLAND, TX 79701-5549
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68615
TX
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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