Individual
MRS. EMILY CATHERINE BENSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 VANTAGE LN, BOURBONNAIS, IL 60914-3518
(810) 223-8374
Mailing address
1190 VANTAGE LN, BOURBONNAIS, IL 60914-3518
(810) 223-8374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178008627
IL
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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