| Doctor Name: | JENA BENNETT |
| NPI Number: | 1043640212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | 66620 |
| Business Practice Address: | 5804 W Hwy 67 Cleburne, TX - 760338207 |
| Business Phone Number: | 8175174436 |
| Business Fax Number: | |
| Mailing Address: | 5804 W Highway 67, CLEBURNE |
| State: | TX |
| Postal Code: | 760338207 |
| Phone Number: | 8175174436 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2013 |
| NPI Last Update Date: | 11/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 66620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |