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Individual

JEAN MARIE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAC2

Contact information

Practice address
1555 HUMBOLDT ST, DENVER, CO 80218-1614
(303) 504-1616
Mailing address
1661 COOK ST, #202, DENVER, CO 80206-1839
(303) 955-1606

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6720
CO

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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