Shannon Ray Bennett, CPSS,CSA

NPI #1851153431 in Corbin, Kentucky

Provider Information

NPI Number: 1851153431
Entity Type: Individual
Name: Shannon Ray Bennett, CPSS,CSA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CPSS,CSA
Enumeration Date: Jan 29, 2024
Last Updated: Jan 29, 2024

Practice Location

Address: 3444 CUMBERLAND FALLS HWY
City: Corbin
State: Kentucky
ZIP Code: 40701-9056
Phone: (606) 280-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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