Individual
CYNTHIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3502 REDBUD ST, ZACHARY, LA 70791-2961
(225) 921-7363
Mailing address
3502 REDBUD ST, ZACHARY, LA 70791-2961
(225) 921-7363
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3102
LA
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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