Individual provider · Type 1 NPI

Maegan Bennett

Mental Health Counselor · Boardman, OR

NPI number 1962856542 Active

Practice location

70362 Kunze Ln
Boardman, OR 97818-8013

Fax (541) 481-3234

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1962856542

Maegan Bennett's National Provider Identifier is 1962856542, issued on Apr 20, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boardman, OR. The record was last updated on Apr 20, 2016.