Individual provider · Type 1 NPI

Corey D. Benjamin, CADC, CRM, QMHA

Addiction (Substance Use Disorder) Counselor · Beaverton, OR

NPI number 1104699099 Active

Practice location

3800 SW Cedar Hills Blvd Ste 170
Beaverton, OR 97005-2020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X23-QMHA-R-4572 (OR)
Peer Specialist 175T00000X23-CRM-2525 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-22-2156 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104699099

Corey D. Benjamin, CADC, CRM, QMHA's National Provider Identifier is 1104699099, issued on Nov 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaverton, OR. The record was last updated on Nov 28, 2024.