Individual
CHARLES HAMILTON BENSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
200 BEATTY STREET, MEDFORD, OR 97501
(541) 414-0739
Mailing address
1965 LIVE OAK BLVD, YUBA CITY, CA 95991-8828
(530) 822-7200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1587
OR
Other
Enumeration date
02/14/2007
Last updated
08/09/2019
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