Individual
ELIZABETH J BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2210 MENARD ST, 1R, SAINT LOUIS, MO 63104-4178
(314) 865-2535
Mailing address
2210 MENARD ST, 1R, SAINT LOUIS, MO 63104-4178
(314) 865-2535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2002027400
MO
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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