Individual
KARY ANN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
56 OLD FARM RD, STOWE, VT 05672-4248
(802) 343-4796
(802) 888-2244
Mailing address
PO BOX 849, STOWE, VT 05672-0849
(802) 343-4796
(802) 888-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000751
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015274
—
VT
Enumeration date
10/29/2007
Last updated
10/11/2016
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