Doctor Name: | MR. BRIAN BENKEL |
NPI Number: | 1316069685 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BA |
License Number: | |
Business Practice Address: | 8 Interchange Dr West Lebanon, NH - 037842003 |
Business Phone Number: | 6032982146 |
Business Fax Number: | 6032982149 |
Mailing Address: | 14 Marsten Ln, Unit 14 ENFIELD |
State: | NH |
Postal Code: | 037484143 |
Phone Number: | 6036324872 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |