Crystal Rae Bennett

NPI #1326512120 in North Collins, New York

Provider Information

NPI Number: 1326512120
Entity Type: Individual
Name: Crystal Rae Bennett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 15, 2019
Last Updated: Jan 15, 2019

Practice Location

Address: 2107 SPRUCE STREET
City: North Collins
State: New York
ZIP Code: 14111
Phone: (716) 337-3706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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