Individual
BENJAMIN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
103 EAST SOUTH STREET, MUNFORDVILLE, KY 42765-8911
(270) 696-3181
(877) 308-1668
Mailing address
540 LEVI BEAMS RD, MAGNOLIA, KY 42757-7960
(270) 696-3181
(187) 730-8166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
10/23/2007
Last updated
09/26/2014
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