Individual
JENNIFER BENAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
1001 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6830
(561) 744-8889
(561) 354-0189
Mailing address
1001 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6830
(561) 744-8889
(561) 354-0189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MH10942
FL
103T00000X
Psychologist
Primary
MH10942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z03LX
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/27/2012
Last updated
01/27/2012
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