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Chad M Bennett, LPC

Counselor, Professional in Boulder, CO. Individual provider (NPI-1).

NPI number1104701010
StatusActive
Last updated in NPPESAug 8, 2025

Details

NPI
1104701010
Entity type
Individual (NPI-1)
Name
Mr. Chad M Bennett
Credential
LPC
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 8, 2025
Certification date
Aug 8, 2025
Last updated
Aug 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional0013978COYes

Practice location

1510 Mapleton Ave Apt B
Boulder, CO 80304-4244

Phone 720-808-3756

Mailing address

1510 Mapleton Ave Apt B
Boulder, CO 80304-4244

Phone 720-808-3756

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