Individual
BENJAMIN HUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 W 1400 N, SUITE A, LOGAN, UT 84341-6811
(435) 752-5302
Mailing address
175 W 1400 N, SUITE A, LOGAN, UT 84341-6811
(435) 752-5302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
NO INSURANCE, CASH BASIS
UT
Enumeration date
07/26/2012
Last updated
05/23/2013
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