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1659873586
JASON PAUL BENTON
ATHENS, GA
NPI
1659873586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: GA LPC007064)
Enumeration Date
2018-03-07
Last Update Date
2021-06-07
Business Address
JASON PAUL BENTON LPC
1090 FOUNDERS BLVD STE B
ATHENS, GA 30606-6163
Phone number: 706-549-3606
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Mailing Address
JASON PAUL BENTON LPC
196 SCOGGINS DR
DEMOREST, GA 30535-5354
Phone number: 706-894-3700
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