Individual
BENNIE LEE BELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6210 HERRIOT GRV, COLORADO SPRINGS, CO 80922-1843
(719) 271-6583
Mailing address
6210 HERRIOT GRV, COLORADO SPRINGS, CO 80922-1843
(719) 271-6583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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