Individual
MR. BENJAMIN NEAL MILLSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LCAS, CCS
Contact information
Practice address
350 PEEDEE AVE, ALBEMARLE, NC 28001-4932
(704) 986-1554
Mailing address
350 PEE DEE AVE, ALBEMARLE, NC 28001-4932
(704) 986-1500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1046
NC
1041C0700X
Clinical Social Worker
Primary
C005395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111929
—
NC
Enumeration date
02/13/2007
Last updated
12/18/2013
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