Organization
ALLISON BENTON GOSS, LLC
Active
Other names
Allison L Benton, LISW
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON BENTON GOSS LISW (MEMBER)
(505) 266-2997
Entity
Organization
Contact information
Practice address
1400 CARLISLE BLVD NE, SUITE A, ALBUQUERQUE, NM 87110-5667
(505) 266-2997
(505) 266-3063
Mailing address
1400 CARLISLE BLVD NE, SUITE A, ALBUQUERQUE, NM 87110-5667
(505) 266-2997
(505) 266-3063
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
03/27/2009
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