Individual
JENNIFER ROSA BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
821 SAGE AVE, KEMMERER, WY 83101-3113
(307) 877-4466
Mailing address
821 SAGE AVE, KEMMERER, WY 83101-3113
(307) 877-4466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PPC-658
WY
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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