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General NPI Number Information
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NPI Number | 1164361309
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Entity Type | Individual
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Provider Name | JOHN BENTON LEE II LPC
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Gender | Male
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 628 5TH AVE
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City | ALBANY
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State | GA
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Zip | 31701-1855
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Country | US
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Telephone | 229-449-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 628 5TH AVE
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City | ALBANY
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State | GA
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Zip | 31701-1855
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC005904
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License Number State | GA
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