Provider Demographics
NPI:1902898117
Name:BENSON, GREGG (MA, LCADC)
Entity type:Individual
Prefix:MR
First Name:GREGG
Middle Name:
Last Name:BENSON
Suffix:
Gender:M
Credentials:MA, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 COMMUNITY PL
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7501
Mailing Address - Country:US
Mailing Address - Phone:973-539-1980
Mailing Address - Fax:973-539-3687
Practice Address - Street 1:20 COMMUNITY PL
Practice Address - Street 2:4TH FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7500
Practice Address - Country:US
Practice Address - Phone:973-539-1980
Practice Address - Fax:973-539-3687
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37JC00074500101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)