Individual
CARMEN BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
6020 DAWSON BLVD, SUITE I, NORCROSS, GA 30093-1225
(770) 662-0249
(770) 449-5023
Mailing address
20 BOBOLINK CT, STOCKBRIDGE, GA 30281-1795
(770) 662-0249
(770) 449-5023
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
APC002423
GA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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