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NPI Code Detail

MEDICARE: CHRIS BENSON LPC

MEDICARE: CHRIS BENSON LPC
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

General Provider Information

NPI Number : 1821293028
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS BENSON LPC
Provider Business Mailing Address
First Line : 804 S BROADWAY ST
Second Line :
City : POTEAU
State : OK
Zip : 74953-3834
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 804 S BROADWAY ST
Second Line :
City : POTEAU
State : OK
Zip : 74953-3834
Country : US
Telephone Number : 918-647-9629
Fax Number : 918-649-0136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2007
Last Update Date : 01/23/2024

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