Individual
JASON BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1008
(660) 362-2189
Mailing address
800 N TUCKER BLVD, SAINT LOUIS, MO 63101-1008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12904
MO
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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