Individual
TERESEA L BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, LCAC
Contact information
Practice address
2501 E 13TH, BUILDING 3 SUITE 10, HAYS, KS 67601
(785) 628-3573
(785) 621-2257
Mailing address
1917 MONROE ST, ELLIS, KS 67637-1905
(785) 623-3482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103
KS
104100000X
Social Worker
Primary
10020
KS
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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