Individual
SHAWNDRA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
645 HIGHWAY 80 E, MONROE, LA 71203-8527
(318) 343-6966
Mailing address
427 BIRCHWOOD DR, MONROE, LA 71203-2205
(318) 351-6795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
5710
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5710
LA
Other
Enumeration date
10/27/2023
Last updated
11/29/2023
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