Individual
MR. BENJAMIN LYLE MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
3 NORMAND AVE APT A, SANFORD, ME 04073-3214
(207) 303-2509
Mailing address
439 US ROUTE 1 STE A, YORK, ME 03909-1638
(207) 520-5771
(207) 520-5788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL7193
ME
Other
Enumeration date
10/29/2021
Last updated
04/30/2025
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