JEB BENNETT LCSW is a mental health counselor in Boulder, CO. JEB BENNETT LCSW NPI is 1538826573. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
800 LARAMIE BLVD UNIT B
BOULDER, CO
ZIP 80304-785
Phone: (303) 946-0236
The provider's authorized official is Gerald W Bennett .
The authorized official title is Owner and has the following contact phone number (303) 946-0236.
The enumeration date for this NPI number is 11/24/2021 and was last updated on 12/6/2021.