Individual
BENJAMIN LLANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LADC U/S
Contact information
Practice address
1719 SW 11TH, LAWTON, OK 73501
(580) 581-1818
(580) 581-1819
Mailing address
112 W. MAIN, PURCELL, OK 73080
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
11/29/2010
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