JACLYNE BENJAMIN BS NPI 1114475076

NPI Information

NPI: 1114475076
Provider Name: JACLYNE BENJAMIN, BS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1028 WALNUT ST
YANKTON, SD
ZIP 57078
Phone: (605) 665-4606
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Jaclyne Benjamin, BS is a mental health counselor in Yankton, SD. Jaclyne Benjamin, BS NPI is 1114475076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1028 WALNUT ST
YANKTON, SD
ZIP 57078-910
Phone: (605) 665-4606
Fax: (605) 665-4673

The enumeration date for this NPI number is 9/20/2016 and was last updated on 9/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1215918339	OTHER	SOUTH DAKOTA	FACILITY NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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