Individual
REBECCA SMART BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
401 SUMMIT ST RM 113, POST OFFICE BOX 206, WINONA, MS 38967-2240
(662) 283-3379
(662) 283-3375
Mailing address
401 SUMMIT ST RM 113, POST OFFICE BOX 206, WINONA, MS 38967-2240
(662) 283-3379
(662) 283-3375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1255
MS
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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