| 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 |