NPI | 1427204452 |
---|---|
Professional Name | MARC A BENNO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10178) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2008-08-11 |