Individual
ZURISADAI BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 AIRPORT FWY, #230, BEDFORD, TX 76021
(817) 354-5200
Mailing address
3901 AIRPORT FWY STE 230, BEDFORD, TX 76021-6091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74022
TX
101YP2500X
Professional Counselor
74022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74022
LICENSED PROFESSIONAL COUNSELOR
TX
Enumeration date
06/08/2017
Last updated
06/08/2017
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