Provider Demographics
NPI:1831422096
Name:BENTON, CLAIRE L (MS, LMFT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:L
Last Name:BENTON
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:L
Other - Last Name:BLUHM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, ALMFT
Mailing Address - Street 1:2754 WEAVERTON
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4660
Mailing Address - Country:US
Mailing Address - Phone:248-765-6234
Mailing Address - Fax:
Practice Address - Street 1:2754 WEAVERTON
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4660
Practice Address - Country:US
Practice Address - Phone:248-765-6234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8968101YM0800X
IL208000167106H00000X
MI4101006491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health