Individual
MR. BENJAMIN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
Mailing address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 288-1981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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