Individual
PENNY L BENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
333 W NORFOLK AVE, SUITE 201, NORFOLK, NE 68701-5219
(402) 379-2030
(402) 379-3933
Mailing address
333 W NORFOLK AVE, SUITE 201, NORFOLK, NE 68701-5219
(402) 379-2030
(402) 379-3933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-924
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39189435426
—
NE
Enumeration date
11/30/2011
Last updated
11/30/2011
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