Individual
BARBARA JEAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
1635 UNION CENTER HWY STE 103, ENDICOTT, NY 13760-1340
(072) 395-7666
(607) 239-5857
Mailing address
PO BOX 264, WHITNEY POINT, NY 13862-0264
(607) 760-8290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P120186
NY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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