Individual
MR. BENJAMIN GERRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1420 C OF E DR STE 115, EMPORIA, KS 66801-2579
(706) 372-6315
Mailing address
1420 C OF E DR STE 115, EMPORIA, KS 66801-2579
(706) 372-6315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8571
KS
1041C0700X
Clinical Social Worker
Primary
8571
KS
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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