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NPI Code Detail

MEDICARE: JONI BENNETT MS, LPC

MEDICARE: JONI BENNETT MS, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2016013365MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134631286
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONI BENNETT MS, LPC
Provider Business Mailing Address
First Line : PO BOX 924
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-0924
Country : US
Telephone Number : 660-988-9669
Fax Number : 888-414-6717
Provider Business Practice Location Address
First Line : 705 E LAHARPE ST STE C
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4526
Country : US
Telephone Number : 660-988-9669
Fax Number : 888-414-6717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2017
Last Update Date : 01/20/2026

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