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Kelli Diane Bennett
Mental Health Counselor in Dallas, Oregon
NPI 1699320440

Kelli Diane Bennett is a Mental Health Counselor based in Dallas, OR and is specialized in Mental Health. Kelli Diane Bennett practices in Dallas, OR. The NPI Number for Kelli Diane Bennett is 1699320440 and holds a License No. (Oregon).

The current practice location address for Kelli Diane Bennett is 182 Sw Academy St, Dallas, OR and can be reached out via phone at 503-623-6818.

Location: 182 Sw Academy St, Dallas, OR, 97338-1996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699320440
Provider Name
Kelli Diane Bennett
Credential
Provider Entity Type
Individual
Gender
Female
Address
182 Sw Academy St, Dallas, OR, 97338-1996
Phone Number
503-623-6818
Fax Number
Provider Enumeration Date
08/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-623-6818
Fax Number
person
Provider Business Mailing Address Details
Address
182 Sw Academy St
City
Dallas
State
Oregon
Zip
97338-1996
Phone Number
503-623-6818
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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