Individual
MRS. JUDITH ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., L.M.H.P.
Contact information
Practice address
1011 E 53RD ST, KEARNEY, NE 68847-8599
(308) 237-1086
(308) 237-1013
Mailing address
1011 E 53RD ST, KEARNEY, NE 68847-8599
(308) 237-1086
(308) 237-1013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
56
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253301-00
—
NE
Enumeration date
09/13/2006
Last updated
07/08/2007
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