MEDICARE: JENNIFER BENO

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

General Provider Information

NPI Number	:	1972623841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BENO

Provider Business Mailing Address
First Line	:	5120 SAN FRANCISCO RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4610
Country	:	US
Telephone Number	:	505-705-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	5120 SAN FRANCISCO RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4610
Country	:	US
Telephone Number	:	505-705-1133
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	03/11/2025

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Directions to “ JENNIFER BENO ” Practice Location

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