Individual
CHARLENE BENFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CADC III
Contact information
Practice address
25 KESSEL CT, #200, MADISON, WI 53711-6227
(608) 278-8200
(608) 833-6932
Mailing address
8007 EXCELSIOR DR, MADISON, WI 53717-1962
(608) 829-5238
(608) 833-6932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39367900
—
WI
Enumeration date
03/08/2006
Last updated
07/08/2007
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