Individual
MRS. JAMIE LYNNE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612-1500
(740) 634-3094
Mailing address
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612-1500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163884
OH
104100000X
Social Worker
Primary
S.2308998
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/18/2018
Last updated
04/25/2023
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