Individual
KIMBERLY BENINATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(918) 951-8386
(405) 445-3780
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(918) 951-8386
(405) 445-3780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200589570B
—
OK
Enumeration date
04/04/2015
Last updated
03/26/2021
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