Provider Demographics
NPI:1124493853
Name:HAMM-BENNETT, RENEE (MA, LPC-INTERN)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:HAMM-BENNETT
Suffix:
Gender:F
Credentials:MA, LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9507 NIGHTJAR DR # A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5819
Mailing Address - Country:US
Mailing Address - Phone:512-796-8690
Mailing Address - Fax:
Practice Address - Street 1:9507 NIGHTJAR DR # A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5819
Practice Address - Country:US
Practice Address - Phone:512-796-8690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72876101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor