Individual
CRYSTAL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1220 S ALMA SCHOOL RD STE 103, MESA, AZ 85210-2078
(602) 291-7364
Mailing address
1831 S HERITAGE, MESA, AZ 85210-5916
(480) 861-9400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-15962
AZ
Other
Enumeration date
04/05/2016
Last updated
11/03/2021
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