Kevin Bentch, STUDENT

NPI #1033464557 in Thermopolis, Wyoming

Provider Information

NPI Number: 1033464557
Entity Type: Individual
Name: Kevin Bentch, STUDENT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT
Enumeration Date: Jul 20, 2012
Last Updated: Jul 20, 2012

Practice Location

Address: 121 S 4TH ST
City: Thermopolis
State: Wyoming
ZIP Code: 82443-2634
Phone: (307) 864-3138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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