Individual provider · Type 1 NPI

Marlo Kathleen Bennett, LMFT

Mental Health Counselor · Park City, UT

NPI number 1720059819 Active

Practice location

1901 Prospector Ave Ste 22
Park City, UT 84060-7208

Call (435) 901-3218 Map

Mailing address

1901 Prospector Avenue, Ste 22
Park City, UT 84060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X357426-3902 (UT)
Marriage & Family Therapist 106H00000X357426-3902 (UT)
Mental Health Counselor Primary 101YM0800X357426-3902 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1720059819

Marlo Kathleen Bennett, LMFT's National Provider Identifier is 1720059819, issued on Jan 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Park City, UT. The record was last updated on Aug 29, 2019.