Benson, Theresa
Benson, Theresa is an sole proprietor health care provider with primary practice located at 1910 Mcdonald Dr , Champaign IL 61821-6055. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Benson, Theresa can be contacted via phone (330) 432-3479.Contact Information
Primary practice address
1910 Mcdonald Dr
Champaign IL 61821-6055
Phone: (330) 432-3479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 071008398 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071008398 | Illinois |
Profile Details
| NPI number | 1811305527 |
|---|---|
| LBN Legal business name | Benson, Theresa |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2014 |
| Last updated | Jun 3rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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