Provider Demographics
NPI:1306638598
Name:BENJAMIN, JAMIE L (LPC)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 NETTLETON DR
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-5329
Mailing Address - Country:US
Mailing Address - Phone:609-937-8942
Mailing Address - Fax:
Practice Address - Street 1:554 NETTLETON DR
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-5329
Practice Address - Country:US
Practice Address - Phone:609-937-8942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00457800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional