Individual
BENJAMIN G HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCPC
Contact information
Practice address
3251 COMMERCE DR STE C, DEKALB, IL 60115-7908
(901) 205-9395
Mailing address
2855 CORNWALL LN, GENEVA, IL 60134-4660
(815) 761-4257
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007751
IL
101YP2500X
Professional Counselor
BBH-LCPC-LIC-11610
MT
Other
Enumeration date
05/19/2009
Last updated
08/12/2025
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