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Contact Information

ASHLEY BENNETT, MAADC1
2919 E 4TH ST
JOPLIN, MO64801-1625
 Phone: 417-782-7966
 Fax: 417-624-4558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ASHLEY BENNETT · (Female)

NPI # 1124511217
Status Active
Credentials MAADC1
Entity Individual
Enumeration date 06/13/2018
Last updated 06/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 10712
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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