Provider Demographics
NPI:1487682506
Name:BENSON, CHARLENE M (MA COUNSELING, LPC)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:M
Last Name:BENSON
Suffix:
Gender:F
Credentials:MA COUNSELING, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 HARLAN ST UNIT 280
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-2948
Mailing Address - Country:US
Mailing Address - Phone:303-898-7786
Mailing Address - Fax:
Practice Address - Street 1:9101 HARLAN ST UNIT 280
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-2948
Practice Address - Country:US
Practice Address - Phone:303-898-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO10512OtherREGISTRY OF INTERPRETERS FOR THE DEAF CERTIFICATION