Individual
DEBRA BENJAMIN GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,BC-DMT,LCPC
Contact information
Practice address
1802 ELMWOOD DR, HIGHLAND PARK, IL 60035-2303
(847) 831-5974
Mailing address
1802 ELMWOOD DR, HIGHLAND PARK, IL 60035-2303
(847) 831-5974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.002612
IL
Other
Enumeration date
09/08/2013
Last updated
09/08/2013
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