Individual provider · Type 1 NPI

Ellen Bennett

Mental Health Counselor · Springdale, AR

NPI number 1306629258 Active

Practice location

3623 Johnson Mill Blvd Ste 103
Springdale, AR 72762-6412

Fax (479) 935-3180

Mailing address

PO Box 9541
Fayetteville, AR 72703-0026

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306629258

Ellen Bennett's National Provider Identifier is 1306629258, issued on Aug 15, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springdale, AR. The record was last updated on Aug 15, 2023.