Most Relevant Information
Provider Data
| NPI Number: | 1003328790 |
| Provider Name: | KAREN BENNETT |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2017 |
| Last Updated: | 11/02/2017 |
Provider Practice Location
1201 TALMAGE RD
UKIAH
CA
954826021
Practice Location Phone/Fax
| Phone: | 7074624033 |
| Fax: |
Provider Mailing Location
PO BOX 2077
UKIAH
CA
954822077
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |