Individual
MARCUS J BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.ED, CADC I
Contact information
Practice address
557 NW MONROE AVE, CORVALLIS, OR 97330-4721
(541) 766-3548
Mailing address
PO BOX 579, 530 NW 27TH STREET, CORVALLIS, OR 97339-0579
(541) 766-6835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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