Individual
BENJAMIN TREADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3191 CLAY MANGUM LN, TAMPA, FL 33618-2501
(813) 264-3807
Mailing address
3191 CLAY MANGUM LN, TAMPA, FL 33618-2501
(813) 264-3807
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
09/16/2016
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