Individual
TRACY MARIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
115 S SYCAMORE ST, GARDNER, KS 66030-1348
(816) 716-1278
(913) 938-5261
Mailing address
28221 W 162ND ST, GARDNER, KS 66030-8516
(816) 716-1278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007025528
MO
Other
Enumeration date
03/16/2008
Last updated
06/25/2021
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