Individual
BROOKE MARIE BENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 CHURCH ST NE, SALEM, OR 97301-2404
(503) 936-1917
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1787
OR
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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