Individual
CHRISTOPHER DANIEL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC
Contact information
Practice address
13900 PLEASANT VLY RD, KUNA, ID 83634-2723
(208) 336-1260
Mailing address
13900 PLEASANT VLY RD, KUNA, ID 83634-2723
(208) 336-1260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6357
ID
Other
Enumeration date
01/27/2022
Last updated
01/29/2024
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