Most Relevant Information
Provider Data
| NPI Number: | 1003195132 |
| Provider Name: | ALZADA L. BENTON MSED., LPC-S |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 63335 |
Most Important Dates
| Enumeration Date: | 08/07/2011 |
| Last Updated: | 08/07/2011 |
Provider Practice Location
8828 N STEMMONS FWY STE 225
DALLAS
TX
752473745
Practice Location Phone/Fax
| Phone: | 4692277847 |
| Fax: |
Provider Mailing Location
743 MULBERRY CT
RED OAK
TX
751544227
Provider Mailing Phone/Fax
| Phone: | 9727406117 |
| Fax: |