Individual
MR. BENJAMIN R CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW-SAS, CCTP
Contact information
Practice address
2323 W EVERETT ST, APPLETON, WI 54914-4749
(920) 490-3790
(920) 490-3889
Mailing address
2323 W EVERETT ST, APPLETON, WI 54914-4749
(920) 490-3790
(920) 490-3889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7420-123
WI
1041C0700X
Clinical Social Worker
Primary
7420-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022647
—
WI
Enumeration date
04/15/2008
Last updated
01/07/2025
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