Organization
SILVER MAPLE EQUINE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BENKARD LCSW, CSAC (SOCIAL WORKER)
(608) 469-8170
Entity
Organization
Contact information
Practice address
3741 WI-138, STOUGHTON, WI 53575
(608) 293-0744
(608) 873-1929
Mailing address
538 HUBBELL STREET, MARSHALL, WI 53559
(608) 293-0744
(608) 873-1929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992034078
—
WI
Enumeration date
10/17/2022
Last updated
10/17/2022
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