Individual
KIMBERLY BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 778-0450
Mailing address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 778-0450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2204009
AR
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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