Individual
BENJAMIN TOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 838-4455
(703) 838-5070
Mailing address
3538 SEAGRAPE CT, WALDORF, MD 20602-2649
(703) 838-4455
(703) 838-5070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1116
MD
101YP2500X
Professional Counselor
Primary
0701004316
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58956180
—
MD
Enumeration date
04/04/2007
Last updated
01/28/2008
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