Individual
STANLEY JUNIOUS BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1042 ERWIN DR, JOPPA, MD 21085-3725
(410) 622-4547
Mailing address
1042 ERWIN DR, JOPPA, MD 21085-3725
(410) 622-4547
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1218
MD
Other
Enumeration date
06/07/2021
Last updated
02/14/2022
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