Individual
BENJAMIN CHRISTIAN WILLCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2612 N ROXBORO ST, DURHAM, NC 27704-4350
(512) 843-7665
Mailing address
2612 N ROXBORO ST, DURHAM, NC 27704-4350
(512) 763-7594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77467
TX
Other
Enumeration date
01/09/2018
Last updated
10/08/2020
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