| Jennifer Bennett, LCDC II | |
|
765 N Detroit St, Xenia, OH 45385-1960 | |
| (866) 534-2639 | |
| (800) 480-7578 |
| Full Name | Jennifer Bennett |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 765 N Detroit St, Xenia, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588166037 | NPI | - | NPPES |
| 0313998 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 141121 (Ohio) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bennett, LCDC II 5852 Kevin Dr, Dayton, OH 45432-1711 Ph: (937) 384-0580 | Jennifer Bennett, LCDC II 765 N Detroit St, Xenia, OH 45385-1960 Ph: (866) 534-2639 |
Nikita Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 |
Nikia Tamara Johnson, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 996 N Monroe Ct, Xenia, OH 45385 Phone: 937-708-8348 |
Robert A Leveck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-532-9306 |
Mr. Frank Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 137 N Allison Ave, Xenia, OH 45385 Phone: 937-708-8000 |
Alan Jefferis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 |
Richard Young, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-0184 |
Jillian Vincent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 452 W Market St, Xenia, OH 45385 Phone: 937-376-8700 Fax: 937-376-8725 |