Individual
BENJAMIN PEDRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3620 E BLANCHE DR, PHOENIX, AZ 85032-4603
(602) 821-9154
Mailing address
3620 E BLANCHE DR, PHOENIX, AZ 85032-4603
(602) 821-9154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18771
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-22959
AZ
101YP2500X
Professional Counselor
Primary
LPC-22959
AZ
Other
Enumeration date
05/19/2020
Last updated
03/05/2026
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