Individual
MEGAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS CAC
Contact information
Practice address
710 E COLORADO BLVD, SPEARFISH, SD 57783
(605) 642-7093
(605) 722-3931
Mailing address
710 E COLORADO BLVD, SPEARFISH, SD 57783
(605) 642-7093
(605) 722-3931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305168
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466036107
—
SD
Enumeration date
08/28/2016
Last updated
12/28/2022
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