Doctor Name: | MS. KATHLEEN M BENSON |
NPI Number: | 1265615165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADAC |
License Number: | 634 |
Business Practice Address: | 118 N 5th St Oneill, NE - 687631565 |
Business Phone Number: | 4023364841 |
Business Fax Number: | 4023364640 |
Mailing Address: | 118 N 5th St, ONEILL |
State: | NE |
Postal Code: | 687631565 |
Phone Number: | 4023364841 |
Fax Number: | 4023364640 |
NPI Enumeration Date: | 12/13/2007 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 634 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |