Individual
BENJAMIN TOLLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC-ASSOCIATE
Contact information
Practice address
12247 BANDERA RD, STE #122, HELOTES, TX 78203
(210) 530-1180
Mailing address
PO BOX 680, HELOTES, TX 78023-0680
(210) 530-1180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90783
TX
Other
Enumeration date
05/02/2023
Last updated
06/07/2023
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