Individual
BENJAMIN THOMANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4473 W 13400 N, CORNISH, UT 84308-1743
(435) 213-3123
Mailing address
275 E 100 S, PRESTON, ID 83263-1306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
01/29/2014
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