Individual provider · Type 1 NPI

Brandon Lee Bennett, MA, LPC

Professional Counselor · Springfield, MO

NPI number 1619478146 Active

Practice location

1443 N Robberson Ave
Springfield, MO 65802-3840

Fax (417) 761-5861

Mailing address

1300 E Bradford Pkwy
Springfield, MO 65804-4264

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2018006693 (MO)

Professional Counselor: Definition to come...

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About NPI 1619478146

Brandon Lee Bennett, MA, LPC's National Provider Identifier is 1619478146, issued on Feb 21, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Nov 10, 2023.