Individual
JAMES BENKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Contact information
Practice address
3741 WI-138, STOUGHTON, WI 53589
(608) 469-8170
(608) 873-1929
Mailing address
5034 LA CROSSE LN, MADISON, WI 53705-4802
(608) 469-8170
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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