Individual
MR. ALEC M BENNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 CLAY ST, KERRVILLE, TX 78028-4586
(830) 329-7200
Mailing address
159 MERRITT ROAD, HUNT, TX 78024-3463
(830) 329-7200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10178
TX
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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