Individual
BENJAMIN CARLO ANTONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, AAC
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
61401170
—
Other
Enumeration date
07/13/2021
Last updated
03/09/2023
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