Individual
BENJAMIN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 GRANDE BLVD SE, RIO RANCHO, NM 87124-1799
(505) 494-4165
Mailing address
1740 GRANDE BLVD SE, RIO RANCHO, NM 87124-1799
(505) 494-4165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2023-0844
NM
Other
Enumeration date
12/17/2018
Last updated
11/09/2023
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