Julie Benton, LMFT
Individual provider Active NPI Marriage & Family Therapist · Lewiston, ID
NPI 1821621046 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1821621046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 10582 (AZ)
- Practice address
- 1827 7TH Ave Apt B
Lewiston, ID 83501-5699 - Phone
- (480) 637-4040
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10582 | AZ | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 10582 | AZ | Yes |
Addresses
Primary practice location
1827 7TH Ave Apt B
Lewiston, ID 83501-5699
Mailing address
1827 7TH Ave Apt B
Lewiston, ID 83501-5699
Phone (480) 637-4040
Other providers in Lewiston, ID
- Gregory John Bengtson
- Brandy L Benner
- Keriann Marie Bennett
- Randall Bennett
- Sara Light Bennett
- Mark Wynn Berger
- Nancy Berkheiser
- Bertha Whitney
- Jeffrey Carl Bickel
- Robert Biddle III
All providers in Lewiston, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.