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Individual

KYLE E BENNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
8261 MARKET ST, YOUNGSTOWN, OH 44512-6254
(330) 286-0050
Mailing address
8261 MARKET ST, YOUNGSTOWN, OH 44512-6254
(330) 286-0050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.167222
OH
101YM0800X
Mental Health Counselor
Primary
E.2203196
OH
101YP2500X
Professional Counselor
C.2002915
OH

Other

Enumeration date
05/21/2018
Last updated
12/05/2023
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