Individual
TONYA RENEE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
608 HAPPY VALLEY RD, GLASGOW, KY 42141-1561
(270) 901-5000
(270) 842-5268
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
102944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100288280
—
KY
Enumeration date
12/14/2006
Last updated
12/11/2017
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