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Individual

JAMES BENKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW, CSAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15552-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15651-132
WI
1041C0700X
Clinical Social Worker
Primary
8914-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992034078
WI
Enumeration date
12/18/2009
Last updated
10/24/2022
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