Individual
MR. BENJAMIN JACOBS MANNING
Active
Individual
MR. BENJAMIN JACOBS MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCAS, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1148
NC
1041C0700X
Clinical Social Worker
Primary
C005931
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14742
BCBSNC
—
05
—
6007254
—
NC
Enumeration date
03/12/2007
Last updated
07/18/2015
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