Most Relevant Information
Provider Data
| NPI Number: | 1003652702 |
| Provider Name: | STEVEN BUSIEK BENNETT PH.D., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC.0001284 |
Most Important Dates
| Enumeration Date: | 07/02/2024 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
245 MANHATTAN DR
BOULDER
CO
803034224
Practice Location Phone/Fax
| Phone: | 7209389136 |
| Fax: |
Provider Mailing Location
245 MANHATTAN DR
BOULDER
CO
803034224
Provider Mailing Phone/Fax
| Phone: | 7209389136 |
| Fax: |