Candace D Benner | |
19871 Sackett Ln Waynesville MO 65583-3510 | |
(573) 315-3848 | |
(573) 312-3848 |
Full Name | Candace D Benner |
---|---|
Speciality | Counselor - Mental Health |
Location | 19871 Sackett Ln, Waynesville, Missouri |
Authorized Official Name and Position | Candace D Benner (OWNER/TRAUMA SPECIALIST) |
Authorized Official Contact | 5733153848 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Candace D Benner Po Box 114 Roby MO 65557-0114 Ph: (573) 315-3448 | Candace D Benner 19871 Sackett Ln Waynesville MO 65583-3510 Ph: (573) 315-3848 |
NPI Number | 1518547918 |
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Provider Enumeration Date | 04/09/2021 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518547918 | NPI | - | NPPES |
1467869156 | Other | MO | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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