Deven Benson
Counselor, Mental Health in Longview, WA. Individual provider (NPI-1).
NPI number1639717119
StatusActive
Last updated in NPPESMar 20, 2020
Details
- NPI
- 1639717119
- Entity type
- Individual (NPI-1)
- Name
- Deven Benson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2019
- Certification date
- Mar 20, 2020
- Last updated
- Mar 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
748 14th AveLongview, WA 98632-2315
Phone 360-200-5419 · Fax 360-200-6739
Mailing address
748 14th AveLongview, WA 98632-2315
Phone 360-200-5419 · Fax 360-200-6739
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