Individual provider · Type 1 NPI
Boone Leonard Benton, PhD, LPC
Professional Counselor · Jasper, GA
NPI number
1104506294
Active
Practice location
376 Tally Mountain Rd N
Jasper, GA 30143-4706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001999 (GA) |
Professional Counselor: Definition to come...
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About NPI 1104506294
Boone Leonard Benton, PhD, LPC's National Provider Identifier is 1104506294, issued on Jul 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jasper, GA. The record was last updated on Jul 24, 2023.