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Individual

BENJAMIN MEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4700 S MILL AVE STE 5, TEMPE, AZ 85282-6736
(614) 705-3044
Mailing address
207 W CLARENDON AVE UNIT 18A, PHOENIX, AZ 85013-3442
(614) 705-3044

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1901960
OH
101YM0800X
Mental Health Counselor
Primary
LAC 15844
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036813
OH
Enumeration date
06/11/2016
Last updated
09/01/2021
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