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NPI Code Detail

MEDICARE: DORCAS BENSON

MEDICARE: DORCAS BENSON
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCP00005233WA

General Provider Information

NPI Number : 1669745790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORCAS BENSON
Provider Business Mailing Address
First Line : 5802 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2706
Country : US
Telephone Number : 206-723-1980
Fax Number : 206-721-3930
Provider Business Practice Location Address
First Line : 5802 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2706
Country : US
Telephone Number : 206-723-1980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2012
Last Update Date : 02/21/2012

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Directions to “ DORCAS BENSON ” Practice Location

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