Individual
DR. JUSTIN C. BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
535 S MIRANDA ST, LAS CRUCES, NM 88005-2823
(575) 647-2800
(575) 647-2898
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8790
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1118035
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
75195
NM
Other
Enumeration date
05/05/2006
Last updated
11/20/2023
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