Individual provider · Type 1 NPI
Samuel Richard Bennett
Mental Health Counselor · Chicago, IL
NPI number
1114536018
Active
Practice location
5214 N Western Ave
Chicago, IL 60625-2589
Mailing address
1465 Lake Dr
Morris, IL 60450-2405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Chicago
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- Jonathan David Peters, MA, LPCC, LADCMental Health Counselor Chicago, IL NPI 1003547977
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About NPI 1114536018
Samuel Richard Bennett's National Provider Identifier is 1114536018, issued on Jul 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jul 27, 2020.