Provider Demographics
NPI:1891945945
Name:KILIC BETEBENNER, CIGDEM (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:CIGDEM
Middle Name:
Last Name:KILIC BETEBENNER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:CIGDEM
Other - Middle Name:
Other - Last Name:KILIC BETEBENNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:14 CASTLETON ST # 2
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-1702
Mailing Address - Country:US
Mailing Address - Phone:617-820-8895
Mailing Address - Fax:
Practice Address - Street 1:11 GREEN ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2588
Practice Address - Country:US
Practice Address - Phone:617-820-8895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor