Individual
CRYSTAL BENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5565 N COUNTY ROAD 100 E, PITTSBORO, IN 46167-9433
(317) 512-4105
Mailing address
4845 BULLDOG WAY, BROWNSBURG, IN 46112-1466
(317) 852-1060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005174A
IN
Other
Enumeration date
11/04/2024
Last updated
11/19/2024
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