| NPI | 1386761013 |
|---|---|
| Former Name | DENISE LONG BENCKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC NCBLPC 2196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MAC215403) |
| 101YP2500X Counselor, Professional (Licence: NC NBCC215403) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-03-26 |