Individual
JONI BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
406 MAIN AVE S, NORTH BEND, WA 98045
(425) 333-5426
(425) 333-5428
Mailing address
10765 14TH AVE SW APT G5, SEATTLE, WA 98146-2166
(425) 333-5425
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
RC00031900
WA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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