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NPI Code Detail

MEDICARE: BIANCA ANNE BENSON

MEDICARE: BIANCA ANNE BENSON
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 CounselorPC012894PA

General Provider Information

NPI Number : 1548904428
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA ANNE BENSON
Provider Business Mailing Address
First Line : 1000 JEFFERSON ST STE 2C
Second Line :
City : LYNCHBURG
State : VA
Zip : 24504-1724
Country : US
Telephone Number : 855-284-7483
Fax Number :
Provider Business Practice Location Address
First Line : 307 4TH AVE STE 901
Second Line :
City : PITTSBURGH
State : PA
Zip : 15222-2113
Country : US
Telephone Number : 855-284-7483
Fax Number : 617-807-0958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 04/26/2022

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Directions to “ BIANCA ANNE BENSON ” Practice Location

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