Individual
JO ANNA BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
925 S BROADWAY STE 100, CORTEZ, CO 81321
(970) 560-7323
Mailing address
15248 ROAD 22, DOLORES, CO 81323-9117
(970) 560-3942
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4279
OK
Other
Enumeration date
12/05/2007
Last updated
11/08/2019
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