person
Samuel Richard Bennett
Mental Health Counselor in Chicago, Illinois
NPI 1114536018

Samuel Richard Bennett is a Mental Health Counselor based in Morris, IL and is specialized in Mental Health. Samuel Richard Bennett practices in Chicago, IL. The NPI Number for Samuel Richard Bennett is 1114536018 and holds a License No. (Illinois).

The current practice location address for Samuel Richard Bennett is 5214 N Western Ave, Chicago, IL and can be reached out via phone at 773-250-1769.

Location: 5214 N Western Ave, Chicago, IL, 60450-2405
person
Provider Profile Details
NPI Number
1114536018
Provider Name
Samuel Richard Bennett
Credential
Provider Entity Type
Individual
Gender
Male
Address
5214 N Western Ave, Chicago, IL, 60450-2405
Phone Number
773-250-1769
Fax Number
Provider Enumeration Date
07/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5214 N Western Ave
City
State
Zip
60625-2589
Phone Number
773-250-1769
Fax Number
person
Provider Business Mailing Address Details
Address
5214 N Western Ave
City
State
Zip
60625-2589
Phone Number
773-250-1769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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