Individual
MS. KATHLEEN M BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
118 N 5TH ST, ONEILL, NE 68763-1565
(402) 336-4841
(402) 336-4640
Mailing address
118 N 5TH ST, ONEILL, NE 68763-1565
(402) 336-4841
(402) 336-4640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
634
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025001800
—
NE
Enumeration date
12/13/2007
Last updated
12/13/2007
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