Doctor Name: | MR. KENNETH JOSEPH BENEDIK |
NPI Number: | 1598809337 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC LMFT LAC |
License Number: | 149 |
Business Practice Address: | 1819 West Pinhook Road Suite 112 Lafayette, LA - 70508 |
Business Phone Number: | 3372352304 |
Business Fax Number: | 3372346827 |
Mailing Address: | 1819 West Pinhook Road, Suite 112 LAFAYETTE |
State: | LA |
Postal Code: | 70508 |
Phone Number: | 3372352304 |
Fax Number: | 3372346827 |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 149 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |