Individual
MARK BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CAMPUS DELIVERY 8010, FORT COLLINS, CO 80523-8010
(970) 491-5728
Mailing address
CAMPUS DELIVERY 8010, FORT COLLINS, CO 80523-8010
(970) 491-5728
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1597
CO
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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