Organization
JASON BENTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BENTON LPC (OWNER/ THERAPIST)
(706) 549-3606
Entity
Organization
Contact information
Practice address
1090 FOUNDERS BLVD, ATHENS, GA 30606-6163
(706) 549-3606
Mailing address
11425 NOWHERE RD, HULL, GA 30646-1432
(706) 549-3606
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007064
GA
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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