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Benjamin Jacob Ginther, LCSW
Mental Health Counselor in Matteson, Illinois
NPI 1215605449

Benjamin Jacob Ginther is a Mental Health Counselor based in Matteson, IL and is specialized in Mental Health. Benjamin Jacob Ginther practices in Matteson, IL and has the professional credentials of LCSW. The NPI Number for Benjamin Jacob Ginther is 1215605449 and holds a License No. 149.023492 (Illinois).

The current practice location address for Benjamin Jacob Ginther is 4101 203Rd St, Matteson, IL and can be reached out via phone at 708-368-4005.

Location: 4101 203Rd St, Matteson, IL, 60443-1205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215605449
Provider Name
Benjamin Jacob Ginther
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
4101 203Rd St, Matteson, IL, 60443-1205
Phone Number
708-368-4005
Fax Number
Provider Enumeration Date
09/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XOD804286131 01 IL BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
4101 203Rd St
City
Matteson
State
Illinois
Zip
60443-1205
Phone Number
708-368-4005
Fax Number
person
Provider Business Mailing Address Details
Address
4101 203Rd St
City
Matteson
State
Illinois
Zip
60443-1205
Phone Number
708-368-4005
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
149.023492 (Illinois)
Definition
Definition to come...
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