Most Relevant Information
Provider Data
| NPI Number: | 1003294315 |
| Provider Name: | JESSICA SUSAN BENSTON LCAT, ATR-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2015 |
| Last Updated: | 05/07/2015 |
Provider Practice Location
132 W 21ST ST FL 6
NEW YORK
NY
100113203
Practice Location Phone/Fax
| Phone: | 2125922755 |
| Fax: |
Provider Mailing Location
132 W 21ST ST FL 6
NEW YORK
NY
100113203
Provider Mailing Phone/Fax
| Phone: | 2125922755 |
| Fax: |