Individual
DEANNA BEATRICE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
251 PROGRESS WAY STE 102, WAUNAKEE, WI 53597-2520
(608) 849-5430
Mailing address
251 PROGRESS WAY STE 102, WAUNAKEE, WI 53597-2520
(608) 849-5430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7999-226
WI
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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