Provider Demographics
NPI:1265276372
Name:BENJAMIN, MARGARET C (EDD, MA, LCMHCS, NCC)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:C
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:EDD, MA, LCMHCS, NCC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CATHERINE
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:129 DURBIN LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6113
Mailing Address - Country:US
Mailing Address - Phone:910-330-6507
Mailing Address - Fax:
Practice Address - Street 1:129 DURBIN LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6113
Practice Address - Country:US
Practice Address - Phone:910-330-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS10490101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health