Individual
MR. KEVIN LEE BENBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 S 1ST AVE STE 104, YUMA, AZ 85364-2366
(928) 750-1774
(928) 783-1065
Mailing address
202 S 1ST AVE STE 104, YUMA, AZ 85364-2366
(928) 750-1774
(928) 783-1065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 13276
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC13276
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
01/22/2008
Last updated
03/07/2013
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