National Provider Identifier

Crystal Rae Bennett

Crystal Rae Bennett is listed in the NPPES registry with a primary specialty of Counselor in North Collins, NY and a listed phone number of (716) 337-3706.

NPI 1326512120North Collins, NYCounselor

Profile Overview

NPI
1326512120
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
January 15, 2019
Last Updated
January 15, 2019

Practice Location

  • 2107 Spruce Street
  • North Collins, NY 14111

Phone: (716) 337-3706

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1326512120
Entity Type
Individual
Last Name
Bennett
First Name
Crystal
Middle Name
Rae
Mailing Street Address
2107 Spruce Street
Mailing City
North Collins
Mailing State
NY
Mailing ZIP Code
14111
Mailing Country
US
Mailing Phone
(716) 337-3706
Mailing Fax
(716) 337-2723
Practice Street Address
2107 Spruce Street
Practice City
North Collins
Practice State
NY
Practice ZIP Code
14111
Practice Country
US
Practice Phone
(716) 337-3706
Practice Fax
(716) 337-2723
Enumeration Date
January 15, 2019
Last Updated
January 15, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)