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NPI Code Detail

MEDICARE: RAYMOND DAVID BENASUTTI MA

MEDICARE: RAYMOND DAVID BENASUTTI 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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12162OTHERNCLICENSE

General Provider Information

NPI Number : 1144366394
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND DAVID BENASUTTI MA
Provider Business Mailing Address
First Line : PO BOX 1536
Second Line :
City : MORGANTON
State : NC
Zip : 28680-1536
Country : US
Telephone Number : 828-437-3000
Fax Number : 828-437-4999
Provider Business Practice Location Address
First Line : 617 S GREEN ST
Second Line : SUITE 300
City : MORGANTON
State : NC
Zip : 28655-3517
Country : US
Telephone Number : 828-437-3000
Fax Number : 828-437-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 11/11/2014

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Directions to “ RAYMOND DAVID BENASUTTI MA” Practice Location

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