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Dr. Bennett Edgerly, PHD,LPC
Professional Counselor in Greeley, Colorado
NPI 1114442316

Bennett Edgerly is a Professional Counselor based in Greeley, CO and is specialized in Professional. Bennett Edgerly practices in Greeley, CO and has the professional credentials of PHD,LPC. The NPI Number for Bennett Edgerly is 1114442316 and holds a License No. LPC.0016208 (Colorado).

The current practice location address for Bennett Edgerly is 1300 N 17Th Ave, Greeley, CO and can be reached out via phone at 970-347-2120.

Location: 1300 N 17Th Ave, Greeley, CO, 80631-9584
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Provider Profile Details
NPI Number
1114442316
Provider Name
Bennett Edgerly
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Male
Address
1300 N 17Th Ave, Greeley, CO, 80631-9584
Phone Number
970-347-2120
Fax Number
Provider Enumeration Date
08/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-15634 01 AZ ARIZONA LICENSE
LPC.0016208 01 CO STATE LICENSING BOARD OF COLORADO
institution
Provider Business Practice Location Address Details
Address
1300 N 17Th Ave
City
State
Zip
80631-9584
Phone Number
970-347-2120
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N 17Th Ave
City
State
Zip
80631-9584
Phone Number
970-347-2120
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC.0016208 (Colorado)
Definition
Definition to come...
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