Myra F Bennett, CAP-128

NPI #1437443504 in Powell, Wyoming

Provider Information

NPI Number
1437443504
Entity Type
Individual
Name
Myra F Bennett, CAP-128
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CAP-128
Enumeration Date
Jun 6, 2011
Last Updated
Feb 25, 2016

Practice Location

Address
1106 JULIE LN
City
Powell
State
Wyoming
ZIP Code
82435-1632
Phone
(307) 271-7460

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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