Individual provider · Type 1 NPI

Kelly Bennett

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1184384489 Active

Practice location

5306 N 17th Ave
Phoenix, AZ 85015-3035

Fax (480) 422-0052

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184384489

Kelly Bennett's National Provider Identifier is 1184384489, issued on Dec 28, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 28, 2021.