Individual
KIMBERLY BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C,, M.ED., CAC
Contact information
Practice address
521 PLYMOUTH RD, SUITE 106, DOOR F, PLYMOUTH MEETING, PA 19462-1638
(610) 265-6464
Mailing address
723 ARDMORE AVE, ARDMORE, PA 19003-1835
(610) 256-4265
(610) 645-9474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000095
PA
Other
Enumeration date
09/22/2010
Last updated
09/29/2010
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