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URSULA JEAN BENWARD LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1851566608

Individual Registrant:
 URSULA JEAN BENWARD LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12100 N MOUNTAIN CENTRE RD APT 6201  MARANA, AZ 85658-5015 US
Tel: 520-682-4111  Fax: 520-818-3630

Contact information for business:
13395 N MARANA MAIN ST  MARANA, AZ 85653-7008 US
Tel: 480-276-4620  Fax: --

Registration Information:
NPI: 1851566608
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
AZLPC-12955

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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