Individual
BENJAMIN RASCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1999 WABASH AVE, SUITE 209, SPRINGFIELD, IL 62704-5351
(217) 891-6063
Mailing address
1999 WABASH AVE, SUITE 209, SPRINGFIELD, IL 62704-5351
(217) 891-6063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.009925
IL
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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