Individual
BENJAMIN WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCMH, MT-BC
Contact information
Practice address
556 S DUPONT BLVD STE I, MILFORD, DE 19963-1706
(302) 504-5142
Mailing address
2176 MILFORD HARRINGTON HWY, MILFORD, DE 19963-5205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011719
DE
Other
Enumeration date
09/15/2023
Last updated
02/12/2025
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