Individual provider · NPI-1

Kandi Sue Bennett, CSW

Counselor, Addiction (Substance Use Disorder) · Frankfort, KY

NPI number1295268647
StatusActive
Last updated in NPPESApr 4, 2017

Details

NPI
1295268647
Entity type
Individual (NPI-1)
Name
Ms. Kandi Sue Bennett
Credential
CSW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 4, 2017
Last updated
Apr 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)252475KYYes

Practice location

251 Democrat Dr
Frankfort, KY 40601-9214

Phone 859-209-2370 · Fax 502-352-2706

Mailing address

251 Democrat Dr
Frankfort, KY 40601-9214

Phone 859-209-2370 · Fax 502-352-2706

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