Individual
JULIE A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
1107 BROADWAY ST, LAMAR, MO 64759-1758
(417) 682-5757
(417) 682-5757
Mailing address
100 S PREWITT ST, NEVADA, MO 64772-1760
(417) 667-8700
(417) 667-7382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003032134
MO
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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