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Mr. Bobby Joe Benton SR., AAS,CADC-I
Counselor in Pendleton, Oregon
NPI 1770696411

Bobby Joe Benton SR. is a Counselor based in Pendleton, OR. Bobby Joe Benton SR. practices in Pendleton, OR and has the professional credentials of AAS,CADC-I. The NPI Number for Bobby Joe Benton SR. is 1770696411 and holds a License No. 05-07-03 (Oregon).

The current practice location address for Bobby Joe Benton SR. is 73265 Confederated Way, Pendleton, OR and can be reached out via phone at 541-966-9830 and via fax at 541-278-7572. You can also correspond with Bobby Joe Benton SR. through the mailing address at 34 WILLOW DR # 34, PENDLETON, OR - 97801-6021 (mailing address contact number: 541-276-5941).

Location: 73265 Confederated Way, Pendleton, OR, 97801-6021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770696411
Provider Name
Bobby Joe Benton SR.
Credential
AAS,CADC-I
Provider Entity Type
Individual
Gender
Male
Address
73265 Confederated Way, Pendleton, OR, 97801-6021
Phone Number
541-966-9830
Fax Number
541-278-7572
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171037 05 OR
institution
Provider Business Practice Location Address Details
Address
73265 Confederated Way
City
Pendleton
State
Oregon
Zip
97801
Phone Number
541-966-9830
Fax Number
541-278-7572
person
Provider Business Mailing Address Details
Address
73265 Confederated Way
City
Pendleton
State
Oregon
Zip
97801
Phone Number
541-966-9830
Fax Number
541-278-7572
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
05-07-03 (Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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