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Stacy Jeanette Bentsen
Professional Counselor in Doniphan, Missouri
NPI 1710589866

Stacy Jeanette Bentsen is a Professional Counselor based in Ellington, MO and is specialized in Professional. Stacy Jeanette Bentsen practices in Doniphan, MO. The NPI Number for Stacy Jeanette Bentsen is 1710589866 and holds a License No. 1710589866 (Missouri).

The current practice location address for Stacy Jeanette Bentsen is 109 Leroux St, Doniphan, MO and can be reached out via phone at 573-663-2313.

Location: 109 Leroux St, Doniphan, MO, 63638-9400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710589866
Provider Name
Stacy Jeanette Bentsen
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 Leroux St, Doniphan, MO, 63638-9400
Phone Number
573-663-2313
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 Leroux St
City
Doniphan
State
Missouri
Zip
63935-1038
Phone Number
573-663-2313
Fax Number
person
Provider Business Mailing Address Details
Address
109 Leroux St
City
Doniphan
State
Missouri
Zip
63935-1038
Phone Number
573-663-2313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1710589866 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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