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NPI Code Detail

MEDICARE: BENJAMIN ELON REDMOND

MEDICARE:   BENJAMIN ELON REDMOND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2345WV

General Provider Information

NPI Number : 1063071421
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN ELON REDMOND
Provider Business Mailing Address
First Line : 713 BIGLEY AVE STE 202
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3356
Country : US
Telephone Number : 304-807-9589
Fax Number : 304-746-2919
Provider Business Practice Location Address
First Line : 713 BIGLEY AVE STE 202
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3356
Country : US
Telephone Number : 304-807-9589
Fax Number : 304-746-2919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 01/20/2026

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Directions to “ BENJAMIN ELON REDMOND ” Practice Location

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