Organization
BENNETT & BENNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DURIE T BENNETT MA (OWNER)
(815) 477-4003
Entity
Organization
Contact information
Practice address
4501 ROUTE 176, CRYSTAL LAKE, IL 60014
(815) 477-4003
Mailing address
9319 BULL VALLEY RD, BULL VALLEY, IL 60098-8186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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