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Individual

MR. BENJAMIN ROSS HEATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. ED.

Contact information

Practice address
19803 1ST AVE S STE 200, NORMANDY PARK, WA 98148-2410
(206) 870-7549
Mailing address
19803 1ST AVE S STE 200, NORMANDY PARK, WA 98148-2410
(206) 870-7549

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61436560
WA

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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