Provider Demographics
NPI:1316069685
Name:BENKEL, BRIAN (BA)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:BENKEL
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 MARSTEN LN
Mailing Address - Street 2:UNIT 14
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-4143
Mailing Address - Country:US
Mailing Address - Phone:603-632-4872
Mailing Address - Fax:
Practice Address - Street 1:8 INTERCHANGE DR
Practice Address - Street 2:
Practice Address - City:WEST LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03784-2003
Practice Address - Country:US
Practice Address - Phone:603-298-2146
Practice Address - Fax:603-298-2149
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)