Individual provider · Type 1 NPI

Michele L. Bennett

Mental Health Counselor · Grants Pass, OR

NPI number 1154795722 Active

Practice location

711 SW Ramsey Ave
Grants Pass, OR 97527-5500

Fax (541) 479-6329

Mailing address

105 Ingalls Ln
Wilderville, OR 97543-9001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154795722

Michele L. Bennett's National Provider Identifier is 1154795722, issued on Nov 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grants Pass, OR. The record was last updated on Nov 19, 2015.