Individual
JENNIFER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC II
Contact information
Practice address
100 ELMWOOD PARK DR. SUITE 201, DAYTON, OH 45449
(937) 384-0580
(937) 384-0581
Mailing address
100 ELMWOOD PARK DR. SUITE 201, DAYTON, OH 45449
(937) 384-0580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141121
OH
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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