Individual
ELIZABETH BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPCC
Contact information
Practice address
4105 KACHEMAK WAY, HOMER, AK 99603-7164
(707) 357-5524
Mailing address
PO BOX 276, HOMER, AK 99603-0276
(707) 357-5524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 171
CA
106H00000X
Marriage & Family Therapist
Primary
MFC 48672
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12456218
CAQH
DC
Enumeration date
05/30/2007
Last updated
12/20/2016
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