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Benjamin Wilson, LMFT

Marriage & Family Therapist in Long Beach, CA. Individual provider (NPI-1).

NPI number1639200769
StatusActive
Last updated in NPPESApr 13, 2016

Details

NPI
1639200769
Entity type
Individual (NPI-1)
Name
Benjamin Wilson
Credential
LMFT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 8, 2007
Last updated
Apr 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistLMFT46444CAYes

Practice location

5150 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3394

Phone 562-490-7669

Mailing address

5150 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3394

Phone 562-490-7669

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