Organization
JANICE S BENEDICT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE STRAND BENEDICT LCSW (SOLE MEMBER)
(815) 399-8040
Entity
Organization
Contact information
Practice address
6975 REDANSA DR, ROCKFORD, IL 61108-1201
(815) 398-7000
(815) 395-0671
Mailing address
3710 CORBRIDGE LN, ROCKFORD, IL 61107-3548
(815) 399-8040
(815) 395-0671
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/15/2020
Last updated
02/03/2021
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