Stacy Jeanette Bentsen

NPI #1710589866 in Doniphan, Missouri

Provider Information

NPI Number: 1710589866
Entity Type: Individual
Name: Stacy Jeanette Bentsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 13, 2020
Last Updated: May 25, 2022

Practice Location

Address: 109 LEROUX ST
City: Doniphan
State: Missouri
ZIP Code: 63935-1038
Phone: (573) 663-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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