Individual
LENA BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, RN
Contact information
Practice address
900 E PARK BLVD, SUITE 155, PLANO, TX 75074-5465
(214) 883-1226
(972) 429-1901
Mailing address
PO BOX 1481, WYLIE, TX 75098-1481
(214) 883-1226
(972) 429-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026228902
—
TX
05
—
184227001
—
TX
Enumeration date
04/17/2008
Last updated
07/08/2011
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