Individual
TERESA ANN BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, PC
Contact information
Practice address
806 4TH AVE, HOLDREGE, NE 68949-2205
(308) 991-6919
Mailing address
806 4TH AVE, HOLDREGE, NE 68949-2205
(308) 991-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1702
NE
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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