Individual
SHELBY NICOLE BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
Mailing address
614 SOUTH AVE, SPRINGFIELD, MO 65806-3110
(417) 869-9011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021012139
MO
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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