Individual provider · Type 1 NPI

Bennett Edgerly, PhD, LPC

Professional Counselor · Greeley, CO

NPI number 1114442316 Active

Practice location

1300 N 17th Ave
Greeley, CO 80631-9584

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	LPC.0016208 (CO)

Professional Counselor: Definition to come...

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About NPI 1114442316

Bennett Edgerly, PhD, LPC's National Provider Identifier is 1114442316, issued on Aug 8, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greeley, CO. The record was last updated on Jul 25, 2023.