person
Dr. Boone Leonard Benton, PHD,LPC
Professional Counselor in Jasper, Georgia
NPI 1104506294

Boone Leonard Benton is a Professional Counselor based in Jasper, GA and is specialized in Professional. Boone Leonard Benton practices in Jasper, GA and has the professional credentials of PHD,LPC. The NPI Number for Boone Leonard Benton is 1104506294 and holds a License No. 001999 (Georgia).

The current practice location address for Boone Leonard Benton is 376 Tally Mountain Rd N, Jasper, GA and can be reached out via phone at 770-846-8161.

Location: 376 Tally Mountain Rd N, Jasper, GA, 30143-4706
person
Provider Profile Details
NPI Number
1104506294
Provider Name
Boone Leonard Benton
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Male
Address
376 Tally Mountain Rd N, Jasper, GA, 30143-4706
Phone Number
770-846-8161
Fax Number
Provider Enumeration Date
07/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
376 Tally Mountain Rd N
City
State
Zip
30143-4706
Phone Number
770-846-8161
Fax Number
person
Provider Business Mailing Address Details
Address
376 Tally Mountain Rd N
City
State
Zip
30143-4706
Phone Number
770-846-8161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001999 (Georgia)
Definition
Definition to come...
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