Individual
BENJAMIN LANIER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC
Contact information
Practice address
510 FLORENCE ST, KERRVILLE, TX 78028-4134
(830) 285-6733
Mailing address
510 FLORENCE ST, KERRVILLE, TX 78028-4134
(830) 285-6733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16208
TX
1041C0700X
Clinical Social Worker
Primary
69458
TX
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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