MEDICARE: BENJAMIN ARON TONEY MA

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
1	101YM0800X	Mental Health Counselor	RC00044686	WA

General Provider Information

NPI Number	:	1770612095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BENJAMIN ARON TONEY MA

Provider Business Mailing Address
First Line	:	PO BOX 88
Second Line	:	611 WEST TACOMA AVE
City	:	WESTPORT
State	:	WA
Zip	:	98595-0269
Country	:	US
Telephone Number	:	360-669-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 YAUGER WAY SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8660
Country	:	US
Telephone Number	:	360-878-8248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2007
Last Update Date	:	09/06/2024

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