Individual
MR. ETHAN DOSSETT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.ED., LPCC, NCC
Contact information
Practice address
1401 SPRING BANK DR STE 13, OWENSBORO, KY 42303-7553
(270) 297-9192
(270) 297-7271
Mailing address
1401 SPRING BANK DR STE 13, OWENSBORO, KY 42303-7553
(270) 297-9192
(270) 297-7271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
245238
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100570210
—
KY
Enumeration date
09/27/2016
Last updated
12/26/2022
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