Provider Demographics
NPI:1306266564
Name:MUNSON, BENJAMIN THOMAS (LPC)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:THOMAS
Last Name:MUNSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 HORN LN
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-2978
Mailing Address - Country:US
Mailing Address - Phone:541-625-0903
Mailing Address - Fax:541-625-0943
Practice Address - Street 1:1455 WILLAMETTE ST,
Practice Address - Street 2:SUITE 3
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4003
Practice Address - Country:US
Practice Address - Phone:541-234-3090
Practice Address - Fax:541-735-9480
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health