Individual
DR. JEFFREY MICHAEL BENWARE
Active
Individual
DR. JEFFREY MICHAEL BENWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16565
IL
101YP2500X
Professional Counselor
180-003264
IL
103T00000X
Psychologist
6108
OH
103TC0700X
Clinical Psychologist
Primary
071.007752
IL
Other
Enumeration date
09/01/2006
Last updated
03/05/2024
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