Kendra Caroline Bennett, LPC - SUPERVISOR

NPI #1417719154 in Longview, Texas

Provider Information

NPI Number: 1417719154
Entity Type: Individual
Name: Kendra Caroline Bennett, LPC - SUPERVISOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC - SUPERVISOR
Enumeration Date: Jan 29, 2024
Last Updated: Jan 29, 2024

Practice Location

Address: 107 COMMUNITY BLVD STE 2
City: Longview
State: Texas
ZIP Code: 75605-6186
Phone: (903) 590-7723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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