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Individual

MR. BENJAMIN JOHN HOPPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, LICSWA, SUDP

Contact information

Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632
(360) 200-5419
(360) 200-6736

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC61009169
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60530243
WA
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2133266
WA
Enumeration date
05/15/2014
Last updated
10/29/2020
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