Benton, Jacqueline Longley

Benton, Jacqueline Longley is an individual health care provider with primary practice located at 1208 E Churchville Rd Ste 300 , Bel Air MD 21014-3485. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Benton, Jacqueline Longley can be contacted via phone (410) 893-4600.

Contact Information

Primary practice address
1208 E Churchville Rd Ste 300 Bel Air MD 21014-3485
Phone: (410) 893-4600
Fax: (410) 640-4358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LGP6827 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC11602 Maryland

Profile Details

NPI number 1588128292
LBN Legal business name Benton, Jacqueline Longley
Credentials LGPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2019
Last updated Jun 30th, 2021 - about 5 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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