Individual
KENNETH CHRISTIAN BENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
17 SUNSET DR, CLARK, NJ 07066-1226
(908) 721-1629
Mailing address
17 SUNSET DR, CLARK, NJ 07066-1226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00198400
NJ
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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