Provider Demographics
NPI:1467271486
Name:BENSKIN, BRANDEN CURTIS (LPC, MA)
Entity type:Individual
Prefix:
First Name:BRANDEN
Middle Name:CURTIS
Last Name:BENSKIN
Suffix:
Gender:M
Credentials:LPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 CUNAT CT APT 1B
Mailing Address - Street 2:
Mailing Address - City:LAKE IN THE HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-5266
Mailing Address - Country:US
Mailing Address - Phone:815-319-9516
Mailing Address - Fax:
Practice Address - Street 1:9 CRYSTAL LAKE RD STE 150
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-1254
Practice Address - Country:US
Practice Address - Phone:815-324-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.020691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health