Individual
MR. EARNEST TERENCE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
240 MEADOW CREST WAY, POWDER SPRINGS, GA 30127-5772
(678) 336-5535
Mailing address
4644 POWDER SPRINGS DALLAS RD UNIT 1242, POWDER SPRINGS, GA 30127-7710
(678) 336-5535
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012175
GA
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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