BENJAMIN SEYMOUR

MERIDIAN, ID
NPI1194010025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: PA  65027)
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
-- BENJAMIN SEYMOUR CAC
1833 MILLENNIUM WAY SUITE# 120
MERIDIAN, ID 83642
Phone number: 888-277-0068
Mailing Address
-- BENJAMIN SEYMOUR CAC
4419 NORTH SUPAI AVE.
MERIDIAN, ID 83646
Phone number: 208-949-0363
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