MEDICARE: BRANDEN CURTIS BENSKIN LPC, 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	178.020691	IL

General Provider Information

NPI Number	:	1467271486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDEN CURTIS BENSKIN LPC, MA

Provider Business Mailing Address
First Line	:	1311 CUNAT CT APT 1B
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-5266
Country	:	US
Telephone Number	:	815-319-9516
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 CRYSTAL LAKE RD STE 150
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-1254
Country	:	US
Telephone Number	:	815-324-3979
Fax Number	:

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/07/2024

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