Individual
JONATHAN BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1630 DRY CREEK DR STE 100B, LONGMONT, CO 80503-6405
(970) 344-9741
Mailing address
1630 DRY CREEK DR STE 100B, LONGMONT, CO 80503-6405
(970) 344-9741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0016671
CO
101YP2500X
Professional Counselor
6401014972
MI
Other
Enumeration date
03/28/2016
Last updated
11/09/2020
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