Individual
MS. SONYA ANNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
605 E BERRY ST STE 109, FORT WORTH, TX 76110-4300
(817) 927-5441
(817) 927-5442
Mailing address
605 E BERRY ST STE 109, FORT WORTH, TX 76110-4300
(817) 927-5441
(817) 927-5442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11028
TX
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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