Individual
MR. J. KIMBROUGH BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT, NCSC
Contact information
Practice address
4637 JAMESTOWN AVE, SUITE C, BATON ROUGE, LA 70808-3235
(225) 925-0035
Mailing address
4637 JAMESTOWN AVE, SUITE C, BATON ROUGE, LA 70808-3235
(225) 925-0035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2291
LA
101YS0200X
School Counselor
71721
LA
106H00000X
Marriage & Family Therapist
Primary
767
LA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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