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NPI Code Detail

MEDICARE: YANA BENYUMOV LCPC

MEDICARE: YANA BENYUMOV LCPC
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 CounselorLC16176MD

General Provider Information

NPI Number : 1942001581
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANA BENYUMOV LCPC
Provider Business Mailing Address
First Line : 6339 TEN OAKS RD STE 300
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1155
Country : US
Telephone Number : 443-904-1817
Fax Number :
Provider Business Practice Location Address
First Line : 6339 TEN OAKS RD STE 300
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1155
Country : US
Telephone Number : 443-904-1817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2025
Last Update Date : 03/20/2025

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Directions to “ YANA BENYUMOV LCPC” Practice Location

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