Individual
DR. BENJAMIN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
608 PENFOLDS WAY, BLYTHEWOOD, SC 29016-9804
(563) 564-9132
Mailing address
608 PENFOLDS WAY, BLYTHEWOOD, SC 29016-9804
(563) 564-9132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001054
IA
101YP2500X
Professional Counselor
Primary
9150
SC
Other
Enumeration date
09/24/2014
Last updated
03/30/2026
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