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Individual

PETER BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMFTA

Contact information

Practice address
13552 S 110 W, SUITE 204, DRAPER, UT 84020-2401
(801) 999-0580
Mailing address
542 W 1600 S, OREM, UT 84058-7320
(208) 390-4435

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
WA
106H00000X
Marriage & Family Therapist
Primary
9679668-3904
UT

Other

Enumeration date
12/22/2014
Last updated
10/13/2016
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