Individual
DR. BENJAMIN JOHN NEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 MAIN ST, WASHOUGAL, WA 98671-4116
(360) 583-4900
Mailing address
1901 MAIN ST, WASHOUGAL, WA 98671-4116
(360) 583-4900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60779551
WA
103T00000X
Psychologist
Primary
PY60779123
WA
103TC1900X
Counseling Psychologist
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Other
Enumeration date
06/19/2017
Last updated
03/07/2023
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